Abstract:
Introduction: Management of recurrent shoulder dislocation remains to be a challenge for
orthopedics. Recurrent shoulder dislocation is present in 16,3% of all joint trauma cases. Maximal
frequency is between 20 and 30 years old men (80%) in 90% of cases. Anatomical repair addressing the
underlying pathology is the preferred method. In this study we will present the hypothesize that Bristow-
Latarjet procedure is effective in most of recurrent shoulder dislocations cases.
Materials and methods: A total of 36 patients with recurrent shoulder dislocation were treated
with Bristow-Latarjet procedure between 2013 and 2015. The patients were classified by: gender, age,
trauma localization (right or left), etiology of first dislocation, place of residence (rural or urban),
patient’s profession. Age of patients was between 17 and 75 years. Ratio men/women was 2:1 (men-24,
women-12). Trauma localization is most frequently met on the right side of the shoulder (25 vs. 11) in
24 cases right is working hand. Recurrent shoulder dislocation is 72 % (n=26) in rural society and 28%
(n=10). All patients were treated with open Bristow-Latarjet procedure, after intervention all patients
were immobilized with Dessault cast splint for 3 and 4 weeks. The clinical outcome was measured with
Constant and Murley Score.
Results: The clinical outcome was excellent in 25 (69,44%) patients; good in 8 (22,22%) patients
and well in 3 (8.33%) patients.
Conclusion: Recurrent shoulder dislocation is a problem that still needs to be solved. Modified
Bristow Latarjet procedure is indicated in almost all types of recurrent shoulder instability, especially in
patients with large Hill-Sachs lesions and glenoid bone loss, with good and excellent results. Open
Bristow Latarjet procedure ensure restoration of joint functionality and long-term absence of
recurrences.
Description:
Department of Orthopaedics and Traumatology, State University of Medicine and Pharmacy Nicolae Testemitanu, Chisinau, Moldova, The 6th International Medical Congress for Students and Young Doctors, May 12-14, 2016