MORPHOLOGICAL ANALYSIS OF THE SCAPULA AND ITS IMPLICATIONS IN BRISTOW-LATARJET PROCEDURE

Abstract

ABSTRACT Objective: To assess which of two procedures, Bristow or Latarjet, is anatomically the most appropriate for the general population . Methods: One thousand one hundred and thirty two shoulders were evaluated by an observer who measured the following coracoid process parameters - length, angle and minimum thickness - through Computed Tomography (CT) analysis. Statistical analysis was carried out by ANOVA and Bland-Altman tests . Results: The mean length, angle and minimum thickness of the coracoid were 27.0 ± 3.80 mm; 103.54 ± 14.03°; and 9.16 ± 6.38 mm, respectively. Gender differences were statistically significant . Conclusion: According to this image-based anatomic study, the coracoid process dimensions do not influence the choice between Bristow or Latarjet procedures. Level of Evidence III, Therapeutic Studies - Investigating the Results of Treatment.

Keywords

• Shoulder dislocation/etiology. Joint instability. Range of motion
• articular. Treatment outcome