Appointment (Between 02:00 pm – 08:00 pm):
022 25717084, 022 40717084, 022 62617084

Incase of an Emergency or if the Appointment Number is Inaccessible, Kindly Contact: +91 9619136962 – Dr. Dipit Sahu


Arthroscopic Latarjet

Dr. Dipit Sahu | Specialized Shoulder Surgeon

Arthroscopic Latarjet

The Arthroscopic Latarjet Procedure has successfully treated anterior shoulder instability over the last 14 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.


Instability with Glenoid Bone Loss

This common cause for recurrent instability can be manifested by an avulsion type bony Bankart lesion or a true fracture of the anterior or inferior glenoid rim. Standard.

Antero-posterior x-ray images may show a fracture or a more subtle loss of contour of the Antero-inferior glenoid rim. A decrease in the apparent density of the inferior glenoid line often signifies an erosion of the glenoid rim between 3 and 6 o’clock. An axillary or Bernageau view may show flattening of this area of the glenoid when bone loss has occurred.

Computed tomography (CT) provides a more detailed image, which is essential to be able to quantify the bone loss preoperatively.1 CT reconstructions provide a more robust static measurement than those afforded by the arthroscopic view. To evaluate glenoid bone loss arthroscopically, the distance from the glenoid rim to the bare spot can be measured. This can assist the surgeon in identifying an inverted pear glenoid, confirming substantial bone loss and the likely failure of an isolated soft-tissue repair.2 Even when the bony fragment is present, replacing it is not always sufficient to restore the bony glenoid articular arc, especially where recurrent episodes of instability have further eroded the remaining glenoid edge.3 There are also issues regarding healing in this potentially necrotic bone.4 In these cases, a bony reconstruction should be considered.

Instability with Humeral Bone Loss

Combinations of Glenoid and Humeral Bone Loss

Complex Soft-Tissue Injury

Revision of a Bankart Repair

Patient Activity

Current Technique

Patient Preparation

Other Services

Arthroscopic Bankart

The glenoid labrum is a fibrocartilage rim surrounding the edge of the glenoid fossa (shoulder socket). The shoulder labrum tear can occur in different ways.

Shoulder Replacement

Shoulder replacement surgery involves replacing the shoulder joint if it has been damaged or worn away, usually by arthritis or injury.

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B407, Galleria Mall, Central Avenue , Hiranandani Garden, Powai, Mumbai, Maharashtra 400076
Monday – Saturday 02:00 pm – 08:00 pm

Contact Us

Appointment (Between 02:00 pm – 08:00 pm)
022 25717084
022 40717084
022 62617084

Incase of an Emergency

Or if the appointment number is inaccessible, kindly contact:
+91 9619136962 – Dr. Dipit Sahu