The decision was made to proceed with an open Latarjet procedure. (see the intraop video on the site)

7 months (Dec 2023) after his Open Latarjet, while moving objects during a move back to California, he had a recurrent shoulder dislocation. Here are the x-rays after his recent dislocation.

6 months (May 2023) after his Bankart + Remplissage procedure, he had a recurrent shoulder dislocation while playing basketball. Here are the MRI images following his recurrent dislocation.

Here is an intraoperative image from his Bankart + Remplissage procedure. (see the full video in the link above)

Here are the initial presenting MRIs images from Sept 2022, prior to his Bankart procedure.

RECURRENT DISLOCATION S/P LATARJET - DEC 2023

Seven months after his Open Latarjet, while moving objects during a move back to California, he had a recurrent shoulder dislocation.

PMH: No significant past medical history.

PE: Current physical exam is positive for apprehension.

RECURRENT DISLOCATION S/P BANKART- MAY 2023

6mo after, he had a recurrent shoulder dislocation while playing basketball. 2 more dislocations occurred over the following 2 weeks. Following radiographic evaluation & conversations, a decision was made to proceed w/ an open Latarjet on 6/1/2023.

Initial Presentation (cont.):

He had an ISS Score of 4 (maybe 6 if we give him HSL based on MRI). Initial imaging showed 18% bone loss (Subcritical), Track Measure (GT) =17.2, and HSL =16. The decision was made to do a Knotless Bankart, Remplissage on 11/15/2022.

HPI: INITIAL PRESENTATION - SEP 2022

A 20 y/o male Basketball player presented with three dislocations of the left shoulder. He reported it would “come out in my sleep.” On exam, he had positive apprehension, a negative push/pull posterior, a sulcus visible but asymptomatic, & Beighton score 5.

If you choose PSIF + TLIF, what type of interbody implant would you utilize?
- 1 Straight/Bullet Cage
- 2 Straight/Bullet Cage
- 1 Banana-shaped Cage
- 1 Expandable Cage

Here is a preoperative x-ray showing pelvic measurements.

PE: On exam, he is non-focal. He has full strength in BUE in Deltoids, Biceps, Triceps, Wrist Extension, and Handgrip. He has full strength in BLE in hip flexion, knee extension, plantar flexion, dorsiflexion, and EHL. He has no Hoffman, clonus, or Babinski, and his DTRs are 2+.

PMH: No significant past medical history. Past surgical history is significant for remote history of ACDF.

HPI (cont.): His pain has significantly limited his quality of life, and he is now unable to enjoy activities he previously did. He has failed conservative treatment w/ physical therapy, injections, and ablations.

HPI: A 65 y/o male presents as an outpatient w/ a few yrs of progressively worsening RLE radicular pain, numbness, & paresthesias in an L4 distribution. He endorsed evidence of neurogenic claudication w/ pain that worsens on extension, is relieved w/ flexion, and worsens w/ activity.

Here is an intraoperative image.

Here are additional postoperative images.