Abstract
IntroductionA new arthroscopic shoulder stabilisation procedure is proposed, which for some patients could be an alternative to the arthroscopic Latarjet procedure.MethodsThe objective was to stabilize the shoulder by making a sling around the subscapularis tendon, using a hamstring graft and enhancing the anterior rim of the glenoid with the same graft. The anatomical feasibility of the surgical procedure was tested to establish the surgical method.ResultsFour surgeons performed the surgery on six cadavers. After the surgery the cadavers were dissected to visualize the result. The sling was placed according to the intention and the nerves in the area (axillary and musculocutaneus) were not at risk, nor had they altered position during the procedure.ConclusionThe procedure is technically feasible and the risk of complications seems low. This procedure could be an alternative to the Latarjet procedure and to other operations used for anterior instability of the shoulder. A biomechanical study will be performed as the next stage of the development.Clinical relevanceThis procedure could be an alternative to the Latarjet procedure and to other operations used for anterior instability of the shoulder.Trial registration2012/1978/REK sør-øst
Highlights
A new arthroscopic shoulder stabilisation procedure is proposed, which for some patients could be an alternative to the arthroscopic Latarjet procedure
Clinical relevance: This procedure could be an alternative to the Latarjet procedure and to other operations used for anterior instability of the shoulder
The main indication is instability with a glenoid bone defect, but it is increasingly used as a revision procedure following previous surgery and as the primary procedure in cases with weak anterior structures (Blomquist et al 2012)
Summary
A new arthroscopic shoulder stabilisation procedure is proposed, which for some patients could be an alternative to the arthroscopic Latarjet procedure. The Latarjet procedure for anterior shoulder instability has today regained popularity. The Latarjet operation yields good results, and has complications (Hovelius et al 2004, Shah et al 2012, Griesser et al 2013). It is currently the first choice for some shoulder surgeons. The Latarjet procedure is considered technically demanding, especially when performed arthroscopically, but even so it is routinely done arthroscopically in some centres (Lafosse et al 2010, Shah et al 2012). Gracitelli et al (2013) reported results of arthroscopic Latarjet procedure in
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