Arthroscopic Bristow-Latarjet–like Procedure: Surgical Technique

Abstract

Anterior shoulder instability is a common pathology, and its gold standard treatment is the arthroscopic Bankart procedure. However, when associated with an important anterior glenoid fracture, either the Latarjet or Bristow procedures can achieve better results. For those cases, the authors have used a combination of both the Latarjet and the Bristow procedures through arthroscopy, which provides the advantages of both minimally invasive techniques and classical procedures. At this time, it does not look evident that the arthroscopic technique produces better results than open surgery, although it surely provides better protection to the deltoid muscle. The improvement in arthroscopic skills when using the arthroscopic Bristow-Latarjet–like procedure will certainly lead to its acceptance and adoption in the future. It is highly recommended in special cases in which there is more than 25% of loss of anterior glenoid bone associated with gross shoulder instability.