The Latarjet Procedure for Recurrent Anterior Shoulder Instability

This book illustrates the Latarjet procedure in a patient with recurrent anterior glenohumeral instability and anterior inferior glenoid bone loss. The Latarjet coracoid transfer procedure provides a triple blocking effect in the treatment of anterior shoulder instability. First, the coracoid bone block increases the anterior posterior diameter of the inferior portion of the glenoid fossa, making it more difficult for the humeral head to subluxate or dislocate. Second, the conjoined tendon acts as a sling reinforcing the inferior capsular ligamentous complex and the inferior portion of the subscapularis. Third, repair of the inferior capsular ligamentous complex to the stump of the coracoacromial ligament reconstructs the capsulolabral anatomy.