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An Approach to an Anterior Shoulder Dislocation Using an Open Glenoid Stabilization With a Clavicle Autograft
Kevin T Dao1, Youssef Messiha2, Edvard Davtyan1
1Internal Medicine, UCLA-Kern Medical, Bakersfield, USA.
Cureus
|March 10, 2025
Summary
Anterior shoulder dislocation is common. A distal clavicle autograft for glenoid augmentation showed success after failed Bankart repair and remplissage, offering a viable alternative to the Latarjet procedure for preventing recurrence.
Area of Science:
- Orthopedics
- Sports Medicine
- Surgical Innovation
Background:
- Anterior shoulder dislocation is the most common joint dislocation.
- Recurrent dislocations prompt ongoing debate on optimal surgical treatments.
- Common procedures include Bankart repair, remplissage, and Latarjet procedures.
Observation:
- A patient with a failed prior Bankart repair and remplissage for anterior shoulder dislocation was treated.
- The patient underwent an open glenoid augmentation using a distal clavicle autograft.
- This approach was chosen as an alternative to the traditional Latarjet procedure.
Findings:
- The open glenoid augmentation with distal clavicle autograft resulted in a successful outcome.
- This procedure effectively addressed the recurrent anterior shoulder instability.
- The patient experienced no further dislocations post-surgery.
Implications:
- Distal clavicle autograft glenoid augmentation presents a promising alternative for managing recurrent anterior shoulder dislocations.
- This technique may offer a successful solution when other procedures like Bankart repair and Latarjet have failed.
- Further comparative studies are warranted to establish the long-term efficacy and indications for this approach.