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The Arthroscopic Latarjet Procedure has successfully treated anterior shoulder instability over the last 9 years and the technique continues to evolve. Although it is associated with a rather steep learning curve, the relatively recent introduction of a customized instrumentation kit has further simplified the crucial steps to make the procedure more reliable and reproducible.

There are, however, still many pitfalls to avoid and the operation remains one for skilled arthroscopic surgeons. We present the indications for this procedure, our current technique in 7 steps and highlight the pearls and pitfalls of this procedure.
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Indications

After a detailed history, clinical examination and radiologic investigations are performed, we have found a Latarjet procedure is appropriate in the following clinical scenarios: