ABSTRACT

Introduction

The shoulder joint allows extreme range of motion. With subsequent episodes of dislocation, humeral head, the glenoid, capsule, ligaments and the labrum undergoes progressive alterations.Selecting an optimal surgical procedure for patients with anterior glenohumeral instability and associated glenoid bone loss is a complex problem. Among the coracoid transfer procedures (the Modified Bristow and Latarjet), there is a little consensus about which of these two techniques is optimal. The purpose is to analyze the stabilization effects of these procedures in anterior glenohumeral instability.

Methods

Latarjet and Modified Bristowwas performed in five patients.Patients were followed up for mean period of 15 months. The functional outcome was measured with WALCH DUPLAY & Visual analog score.

Results

All five patients had bony union. All patients achieve good functional outcome and full range of motion. No cases had dislocation after surgery. All patients returned to their occupation.

Conclusion

The Bristow and Latarjet procedures are equivalent in terms of functional outcomein anterior glenohumeral instability with glenoid bone loss.Coracoid transfer procedures are preferable in Anterior Glenohumeral instability with significant Glenoid bone loss.

Keywords

Glenohumeral instability, Modified Bristow, Latarjet, Glenoid bone loss