[Clinical and computed tomography results of 106 Latarjet-Patte procedures at mean 7.5 year follow-up].

Abstract

We consider that preoperative measurement of humeral retroversion and lateralization of the bicipital gutter can be helpful in establishing a precise therapeutic indication. Rather than searching for a constitutionally anomalous retroversion, we advocate searching for a more anterior functional section of the head cartilage (aggravated anteversion) caused by the presence of a Malgaigne notch on the unstable side (retroversion< or =0 degrees ). When this anomaly is present, we prefer associating a derotation retroversing osteotomy of the humerus with the classical technique. This should avoid persistent residual apprehension.