Procedimiento de Latarjet artroscopico para la inestabilidad de hombro / Arthroscopic Latarjet Procedure for Shoulder Instability

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http://icjr.net/article_104_latarjet_rgr#.VIhXlTGG-An


A 24-year-old ice hockey player has a history of multiple dislocations of his left shoulder. He has already had a Bankart procedure, and had been doing well until he fell on the shoulder. Now he's dislocating at rest, with significant instability. What's the next course of action for this young, active patient?

Authors

Eric M. Black, MD; George S. Athwal, MD, FRCSC; and Charles Getz, MD

Disclosures

Dr. Black has no disclosures relevant to this article. Dr. Athwal is a paid consultant with future royalies for Tornier; an unpaid consultant with future royalties for Imascap; and a paid consultant for Depuy-Mitek and Smith and Nephew. Dr. Getz is an unpaid consultant with potential future royalties for Zimmer and Aevumed and a paid apeaker for Depuy Mitek. He receives research funding from Integra, Zimmer, and Rotation Medical.

Case Presentation

A 24-year-old male who plays ice hockey presented with recurrent left shoulder instability. He has a history of multiple dislocations to his left shoulder. Six years prior, he had undergone an arthroscopic Bankart procedure with metallic anchors; the procedure was performed at another hospital.

The patient had been doing well until he fell 3 years after the repair. Since the fall, he has sustained multiple dislocation events, each time with less force. Now he is dislocating at rest, with significant subjective instability of the shoulder. Multiple dislocations have required reduction in the emergency department.

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