Anterior dislocation of the shoulder in skeletally immature patients

comparison between non-operative treatment versus open Latarjet’s procedure

A. Khan, A. Samba, B. Pereira, F. Canavese

Abstract

The ideal treatment for traumatic anterior dislocation of the shoulder in the skeletally immature patient is controversial. The aim of this study is to evaluate the outcomes after either conservative and/or surgical treatment using the Latarjet technique. A retrospective series of 49 out of 80 patients were reviewed. We found no significant differences between either treatment method regarding functional scores and pain levels. Although not statistically significant, post-surgical patients showed better signs of shoulder stability than others who have a higher rate of recurrence. Further, 92% of the post-surgical group had returned to the same level of activity versus 52% in the non-surgically treated group. We found no contraindications to operate on a skeletally immature patient.

Cite this article: Bone Joint J 2014;96-B:354–9.

Footnotes

  • No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

    The authors would like to thank C. Levigne, MD (The Parc Polyclinic, Lyon, France) for providing the cases of Latarjet’s procedure.

    This article was primary edited by P. Baird and first proof edited by D. Rowley.

  • Received April 8, 2013.
  • Accepted December 2, 2013.
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