Table 1.

Indications, Contraindications, and Risks of the Latarjet Procedure for Treatment of Recurrent Anterior Glenohumeral Instability With Postage Stamp Fracture

Indications

Recurrent anterior instability

Glenoid bone loss greater than 15%

Glenoid bone loss less than 15% with •Concurrent Hill–Sachs lesion or •Subacute/chronic fracture fragment or •Osteolysis near rim fracture or •High-consequence profession (mountain climber, firefighter, police officer, etc.)

Contraindications

Patients 50 years or older with irreparable rotator cuff tear (6)

Voluntary anterior dislocators/subluxators (6)

Uncontrolled epilepsy (6)

Posterior inferior instability (6)

Risks

Hematoma formation

Recurrence of instability

Infection

Loss of external rotation

Bone block nonunion, fracture, resorption