Latarjet in women for anterior shoulder instability: a case series analysis

Purpose The Latarjet procedure is traditionally used to treat chronic anterior shoulder instability associated with glenoid bone loss. However, few series have analyzed outcomes in a female-only population. The objective of this study was to evaluate the clinical and radiological outcomes of a Latarjet bone block in this specific population. Methods This single-center retrospective study included 15 women (mean age 35 ± 11.3; 19–60) reviewed with a minimum follow-up of 2 years. The procedure was performed using the open bone block screw technique ( n = 7) or by arthroscopy with cortical button ( n = 8). Clinical evaluation was based on active range of motion measurements, Rowe and Walch–Duplay scores, and subjective shoulder value (SSV). Radiographic analysis explored bone block healing at the last follow-up. Results At a mean follow-up of 48 months (32–86), no recurrence was reported. The mean Rowe score was 91 points (70–100), Walch–Duplay 90 points (60–100), and SSV 87% (70–100). The active mobilities reached 169° (± 9°) in elevation, 57° (± 15°) in external rotation at side, and 89° (± 6°) in abduction. The return-to-sport rate was 91%. Five patients experienced persistent anterior pain, with screws requiring hardware removal in 2 ( p = 0.02). Radiological assessment detected one case of nonunion (7%). Conclusion Women treated with the Latarjet procedure experienced satisfactory midterm clinical outcomes. The arthroscopic technique using cortical button fixation seems to avoid residual anterior pain requiring hardware removal.