The bra strap incision in the open Latarjet procedure

Area of Science:

• Orthopedic surgery
• Shoulder arthroplasty
• Surgical techniques

Background:

• The anterior deltopectoral approach is standard for open Latarjet procedures.
• A bra strap incision offers potential cosmetic benefits for female patients.
• This study evaluates the bra strap incision's patient satisfaction, orientation landmarks, and clinical outcomes.

Purpose of the Study:

• To assess patient preference for the bra strap incision in Latarjet procedures.
• To identify reproducible anatomical landmarks for bra strap incision orientation.
• To evaluate the preliminary clinical outcomes of the bra strap incision.

Main Methods:

• Retrospective analysis of 18 patients undergoing open Latarjet with bra strap incision.
• Assessment of scar satisfaction, Constant and Murley score (CMS), and subjective shoulder value (SSV).
• Evaluation of anatomical landmarks in 100 female patients to determine incision orientation.

Main Results:

• All patients preferred the bra strap incision; 16/18 were satisfied with the scar.
• Mean CMS was 83, mean SSV was 85%.
• Mean distances from incision center to landmarks were recorded, with significant variations noted.

Conclusions:

• The bra strap incision is well-received by female patients and does not negatively impact clinical outcomes.
• While typical landmark distances exist, preoperative marking is advised for optimal bra strap incision placement.
• This approach enhances patient satisfaction in Latarjet procedures.