Philippe Valenti

• Orthopedic shoulder surgeon adult child upper limb
• Senor surgeon at Paris shoulder unit Bizet clinic Paris , France

Introduction The purpose of this study was to evaluate the feasibility of transferring the pectoralis minor (PM) in its entirety and assess its relationship with the musculocutaneous nerves (MCN) and axillary nerves (AXN). Methods Sixteen fresh transthoracic cadaver specimens were used. After PM transfer, the following measures were obtained: (a) t...

To report the radiological and clinical outcomes of non-vascularized coracoid process autografts used for glenoid reconstruction during revision shoulder arthroplasty. This is a retrospective, monocentric study from January 2016 to October 2022 targeting patients treated with a coracoid bone graft for glenoid reconstruction during revision of shoul...

A retrospectively analyze of instability after RSA in terms of aetiology, treatment and final functional outcome. A bicentric retrospective study of 31 patients (mean age 67.6 years; 42–83) treated for RSA instability using RSA Arrow System (FH Orthopedics, Mulhouse, France), mean follow-up 41months (range 12–158). Aetiologies for dislocation were...

Background The objective of this study is to report the outcomes after revision of anatomical total shoulder arthroplasty (ATSA) to reverse shoulder arthroplasty (RSA) and to compare between groups depending on the primary ATSA glenoid implant type, cemented polyethylene (PE) versus a convertible metal-backed (MB). The hypothesis was that the outco...

Hypothesis/Background Addressing irreparable subscapularis in conjunction with reverse total shoulder arthroplasty (RTSA) presents challenges. RTSA without subscapularis repair leads to similar clinical results compared to those with a subscapularis repair but with less range of motion in internal rotation (IR). Optimization of IR and anterior stab...

Background This study aims to analyze the mid- to long-term results of the latissimus dorsi tendon for the treatment of massive posterosuperior irreparable rotator cuff tears as reported in high-quality publications and to determine its efficacy and safety. Methods A systematic review was performed according to the PRISMA guidelines. PubMed, Scopus...

Introduction: Sugaya et al described a classification system to assess postoperative rotator cuff tendon healing. While Sugaya I and II tendons can be considered as healed and Sugaya type IV and V can be considered as retorn, the exact status of Sugaya III tendons remains unclear. The objective of this study was to evaluate the impact of Sugaya II...

In 1954, Albert Trillat described the Trillat procedure in which the tip of the coracoid process is redirected medially and distally using a closing wedge coracoid osteotomy The objective of this chapter is to describe an arthroscopic technique for the Trillat procedure using cortical buttons associated with anterior–inferior capsulolabral plasty....

»: Anterior glenohumeral instability (AGI) is a challenging condition that requires close attention to osseous and soft-tissue abnormalities. The morphometric variance of the periarticular scapular anatomy may be involved in the pathogenesis of recurrent traumatic anterior instability. »: The Trillat procedure repositions the coracoid medially a...

Purpose: The objective of this study was to evaluate the clinical and radiological outcomes of reverse shoulder arthroplasty (RSA) associated with two techniques: L'Episcopo procedure (combined teres major and latissimus dorsi transfer) and modified L'Episcopo procedure (isolated latissimus dorsi transfer). Methods: A retrospective review of 36...

Résumé Introduction La médialisation de la réinsertion d’une rupture des tendons de la coiffe des rotateurs rétractée à la glène permet une réparation sans tension, diminuant ainsi le taux de re-rupture. Le but de l’étude était d’évaluer les résultats cliniques et radiologiques d’une cohorte de ruptures de la coiffe des rotateurs traitées par une...

Introduction The footprint medialization allows a tension free repair in severely retracted rotator cuff tears (RCT), thereby de-creasing the rate of retear. The purpose of the study was to evaluate the clinical and radiological results in a cohort of chronic RCT treated with medialized repair. Secondary purpose was to analyze the impact of mediali...

Résumé Contexte Il a été rapporté que la prothèse totale d’épaule inversée (PTEI) associée à la technique de L’Episcopo (Transfert combiné des muscles grand dorsal et grand rond) ou à la technique de L’Episcopo modifiée (Transfert isolé du muscle grand dorsal) permettait de restaurer le déficit de rotation externe active chez les patients présenta...

Background: Reverse total shoulder arthroplasty (RSA) associated with modified L’Episcopo (isolated LD) or L’Episcopo (combined TM and LD) procedures had been confirmed to effectively overcome the expected external rotation deficit in patient with posterosuperior massive cuff tear and teres minor deficiency. The objective of this study was to evalu...

Abstract Purpose To evaluate long-term results after arthroscopic Bankart repair and Hill-Sachs remplissage (BHSR) in bipolar bone defects with less than 20% of glenoid bone loss (GBL) and to analyse risk factors for recurrent dislocation. Methods From 2009–2012, 43 patients with recurrent anterior shoulder instability were treated with BHSR. Inclu...

Introduction L’objectif principal était de comparer les résultats du transfert de latissimus dorsi dans un groupe de patients de moins de 55 ans versus plus de 75 ans. Nous avons émis l’hypothèse que le TLD pouvait donner des résultats aussi bons chez les personnes âgées que chez les plus jeunes. Matériel et méthode Entre 2014 et 2017, 153 patient...

Since the 1970s, numerous designs of reverse shoulder arthroplasty (RSA) have been proposed, and in 1994, Grammont came up with the third variation of his Delta Reverse, which facilitated pain relief and recovery of overhead motion in the cuff-deficient arthritic shoulder. These satisfactory results have led to an expansion in the indications inclu...

Purpose To report clinical and radiological outcomes of arthroscopic Eden-Hybinette using two cortical suture-buttons in a series of patients with prior failed Latarjet and persistent glenoid bone loss. Methods Between 2015 and 2019, patients with recurrent anterior instability after failed Latarjet underwent arthroscopic Eden-Hybinette procedure...

PurposeThe aim of this study was to describe the results of an arthroscopic Trillat procedure utilized to treat patients with symptomatic antero-inferior shoulder instability associated with hyperlaxity.MethodsA retrospective review was performed on 19 consecutive shoulders (17 patients, 2 bilateral) who underwent a Trillat procedure combined with...

The lack of active external rotation following a brachial plexus injury in adults is very disabling and very challenging to solve. If direct nerve surgery or nerve transfer fails or if the patient is seen too late, palliative surgery is the last resort. Shoulder fusion can stabilize the joint to increase strength at the elbow, but the patient loses...

Objective We analyzed the clinical and functional results of patients with irreparable posterosuperior rotator cuff tears treated with arthroscopic-assisted latissimus dorsi transfer and the clinical relevance of the addition of partial repair of the remaining cuff to the transfer.Methods This was a prospective cohort study that included patients d...

Purpose Lower trapezius (LT) transfer using Achilles tendon allograft or semitendinosus autograft is effective in restoring external rotation in massive irreparable posterosuperior rotator cuff tears (RCT). The purpose of this study was to evaluate if the infraspinatus fascia (IF) could be used in LT transfer to extend the LT tendon. Methods Eight...

The therapeutic management of the paralytic shoulder after an obstetric brachial plexus injury is complex. When nerve repair or neurotization fail, or if the biological times for nerve reconstruction is over, tendon transfer to restore active external rotation of the shoulder becomes the main surgical alternative. The purpose of this manuscript is...

Therapeutic management of recurrent anterior shoulder instability with an anterior glenoid defect and a Hill-Sachs lesion requires a bone graft to restore the width of the glenoid. The Latarjet procedure is the most popular technique but an iliac crest bone graft is preferred when the coracoid process is dysplastic or too short or after failure of...

Purpose: The goal of this study was to assess the clinical outcomes associated with anatomic healing of the greater tuberosity in patients treated for proximal humerus fractures with reverse shoulder arthroplasty. Our hypothesis was that anatomic healing of the greater tuberosity leads to less complications and better functional outcomes. Methods...

Aim To determine the feasibility of lower trapezius and rhomboid minor transfer to reconstruct irreparable subscapularis tendon tears. Background Previously reported outcomes after tendon transfers to reconstruct the subscapularis are unpredictable and often unsatisfactory, especially in the presence of anterior humeral head subluxation. We studie...

Résumé Introduction L’omarthrose avant l’âge de 50 ans est rare et sa prise en charge délicate. Si le traitement choisi est une prothèse d’épaule, les risques évolutifs à long terme, plutôt fréquents avec un fort taux de révision, rendent l’indication discutable chez un patient jeune et actif. Le but de cette étude était de connaître les caractéri...

AimThe objective of this study was to describe the outcome of reverse shoulder arthroplasty (RSA) combined with modified L’Episcopo procedure at long-term follow-up (5 to 12 years).MethodsA retrospective review of 17 RSAs (mean age 67.2 years) with the modified L’Episcopo procedure conducted between 2006 and 2016 was performed. All patients had a c...

Introduction: Osteoarthritis (OA) of the shoulder in under-50 year-olds is rare, and treatment is delicate. Shoulder replacement incurs frequent long-term risk of progression and a high revision rate, making it unsuited to young active patients. The aim of the present study was to determine the epidemiology of shoulder OA in under-50 year-olds and...

Background: Loss of active shoulder internal rotation can be very disabling. Several tendon transfers have been described for management of an irreparable subscapularis tear. The purpose of this study was to determine and compare the internal rotation moment arm(IRMA)of the sternal head of the pectoralis major(PM),latissimus dorsi(LD) and teres ma...

Hypothesis and/or background Management of irreparable postero-superior rotator cuff tears (RCT) presents a significant challenge to the shoulder surgeons. Previous studies on latissimus dorsi transfer (LDT) have demonstrated good to excellent outcomes in younger patients but this indication is debatable in the elderly. The main objective of this s...

Background There is limited evidence on clinical outcomes of APR and LDTT for posterosuperior mRCTs. We aimed to compare clinical outcomes of APR and LDTT for partially repairable posterosuperior mRCTs, and determine whether outcomes differ among tears that involve the teres minor. Methods We retrieved records of 112 consecutive patients with mRCT...

PurposeThe purpose of the study is to report the results of reverse shoulder arthroplasty (RSA) after three types of initial treatment performed for complex proximal humeral fracture (PHF): conservative, reduction and internal fixation (RIF), or hemiarthroplasty.Methods This is a retrospective study of 63 patients separated into three groups with a...

Background Recurrent anterior instability associated with hyperlaxity remains a difficult challenge. In 1954, Trillat proposed osteoclasis of the coracoid process in order to make it more distal and more medial to place the conjoint tendon just in front of the humeral head. The conjoint tendon lowers and reinforce the stabilizing action of the subs...

Background It remains unclear whether results differ between a Latarjet procedure performed after a failed arthroscopic Bankart repair and one performed as the primary operation. Purpose To compare the postoperative outcomes of the Latarjet procedure when performed as primary surgery and as revision for a failed arthroscopic Bankart repair. Study...

Introduction Le but principal de cette étude monocentrique rétrospective est d’analyser les résultats cliniques des ruptures itératives de la coiffe des rotateurs traitées chirurgicalement par arthroscopie par une nouvelle réparation versus un transfert tendineux. L’objectif secondaire était d’évaluer si une réparation partielle associée à un lambe...

Introduction L’instabilité antérieure récurrente associée à l’hyperlaxité reste un défi difficile à relever. En 1954, Trillat a proposé l’ostéoclasie de la coracoïde dont le but était dedistaliser et médialiser la coracoïde afin de placer le tendon conjoint devant la tête humérale. Le tendon conjoint abaisse et renforce l’action stabilisatrice du s...

Background The preoperative number of dislocations has been previously proved to be a major factor influencing the results after Bankart repair with more preoperative dislocations correlated with higher recurrence rates and more reoperations. This could possibly be because of the lower quality of the tissue repaired during the procedure after multi...

Résumé Introduction Avec le vieillissement de la population, le nombre de fractures déplacées de l’extrémité supérieure de l’humérus du sujet âgé est en constante augmentation. Depuis une dizaine d’années, la part de traitement par hémiarthroplastie (HA) tend à diminuer au profit de la prothèse totale d’épaule inversée (PTEI). L’objectif de cette...

Background: To compare latissimus dorsi tendon rupture rates after arthroscopic transfer for posterior superior rotator cuff tear using 3 different humeral head fixation techniques. Methods: One-hundred fifty consecutive latissimus dorsi transfers were included. Inclusion criteria were massive irreparable posterosuperior rotator cuff tear with a...

Background: The ageing of the population is steadily increasing the frequency of displaced proximal humerus fractures (PHFs) in elderly patients. The last decade has seen a shift from hemi-arthroplasty (HA) to reverse shoulder arthroplasty (RSA) in these patients. The primary objective of this study was to assess short- and long-term outcomes of R...

Introduction Since its first description, the concept of reverse shoulder arthroplasty (RSA) has evolved. The term lateralization remains unclear and is used to describe implants that lateralize on the glenoid side, the humeral side, or both. The objective of this study was to provide a clear definition of lateralization and to measure the laterali...

The Trillat procedure has been proposed to treat chronic anterior shoulder instability by performing a closing wedge osteotomy of the coracoid process fixed with a coracoscapular screw above the subscapularis. The goal of this osteotomy is to distalize and medialize the coracoid tip to place the conjoint tendon in front of the glenohumeral joint. T...

Introduction Les ruptures massives postéro-supérieures de la coiffe des rotateurs, d’origine dégénérative, rétractées avec une atrophie musculaire et une infiltration graisseuse avancée, sont difficiles à réparer anatomiquement. La médialisation de la réinsertion permet de diminuer la tension de la réinsertion, facilite la cicatrisation tendineuse...

Introduction Il a été montré que les taux de récidive et de réopération après Bankart arthroscopique étaient plus faibles si les patients étaient opérés après un seul épisode de luxation. Il n’existe pas de données dans la littérature permettant de déterminer si l’intervention de Latarjet est associée à des taux de récidive et de réopération plus é...

Introduction L’ILER (isolated loss of active external rotation) a été décrite par Boileau et al. dans les cas de rupture massive irréparable de la coiffe postéro-supérieure où l’élévation antérieure est préservée mais où il existe une perte de rotation externe active. Dans ces cas là, seul un transfert tendineux permet de rétablir l’équilibre horiz...

Introduction Les ruptures massives postéro-supérieure de la coiffe des rotateurs douloureuses avec une perte de force après échec du traitement conservateur peuvent bénéficier d’une ténotomie du biceps et débridement sous-acromial, d’une réparation partielle, d’une reconstruction capsulaire supérieure, d’un balloon, d’un transfert de grand dorsal v...

Introduction Actuellement aux États-Unis prêt de 90 % des procédures de stabilisation d’épaule font appel à une réparation de Bankart. À l’inverse en France 90 % des procédures de stabilisation sont réalisé par l’opération de Latarjet. Les taux de récidives de la réparation de Bankart apparaissent plus élevés dans la littérature mais les taux de co...

Background Severe glenoid bone loss remains a surgical challenge. This condition is known to be associated with high rates of glenoid component failure. Purpose The objective of this study was to evaluate clinical and radiological outcomes of a lateralized metal-backed 15.2-mm keeled baseplate prolonged by a thin 24.8-mm metallic post fixed direct...

Background Lower trapezius transfer can restore external rotation in brachial plexus palsies. In some cuff tear arthropathies, there is lack of active external rotation with a preservation of forward elevation. We evaluated the clinical outcomes of a lower trapezius transfer extended with a semitendinosus tendon and fixed to the insertion of the in...

Background: Massive rotator cuff tears are challenging to treat, with few or no studies on long-term outcomes of repair. The purpose of this study was to report 10-year outcomes following repair of massive posterosuperior rotator cuff tears, with and without extension into the subscapularis, and to determine prognostic factors that could influence...

Résumé Introduction Depuis une dizaine d’années, les indications du traitement chirurgical des fractures déplacées de l’humérus proximal du sujet âgé se modifient progressivement : la part de l’hémiarthroplastie (HA) diminue au profit de celle de la prothèse totale d’épaule inversée (PTEI). L’objectif de cette étude est d’évaluer les résultats rad...

Background: Our purpose was to evaluate the clinical and radiologic outcomes of reverse shoulder arthroplasty for proximal humeral fractures in a large cohort of elderly patients and compare the results in the case of tuberosity excision, failed fixation, or anatomic healing. Methods: In this retrospective multicenter study, 420 patients underwe...

Purpose: To evaluate the effect of an additional partial repair in combination with an arthroscopically assisted transfer of the latissimus dorsi (LDT) in massive postero-superior irreparable cuff tear. Materials and methods: Thirty-one patients (mean age 59.2 years) scheduled for arthroscopically assisted LDT either isolated or in combination w...

Introduction: The indications for surgical treatment of displaced proximal humerus fractures in older patients have gradually changed in the past 10 years: fewer hemiarthroplasty (HA) procedures but more reverse shoulder arthroplasty (RSA) procedures are being done. The aim of this study was to determine the clinical and radiological outcomes, the...

The arthroscopic Latarjet procedure is challenging because it can be difficult to place 2 screws parallel to the glenoid surface and a medial portal (dangerous for the brachial plexus) is mandatory. In addition, precise positioning of the coracoid bone block flush with the joint line and in a subequatorial position as recommended is troublesome wit...

Removal of a cemented glenoid component often leads to massive glenoid bone loss, which makes it difficult to implant a new glenoid baseplate. The purpose of this study was to demonstrate the feasibility of revisions with a completely convertible system and to report clinical and radiographic results of a retrospective review of 13 cases. Between 2...

An irreparable cuff tear is defined as the inability to achieve direct repair of native tendon to the great tuberosity despite intra- and extra-articular release of the remaining tissue. Three distinct anatomic patterns are identified: posterosuperior cuff tears which involve the supraspinatus, infraspinatus and teres minor; anterosuperior tears wh...

Deltoid palsy is a classical contraindication for reverse shoulder arthroplasty (RSA). However, in cases associating axillary nerve palsy and rotator cuff tear or glenohumeral arthritis, few options remain. We present a case in which combining RSA with transfer of the pectoralis major and upper and middle trapezius transfer provided satisfactory re...

Introduction Si les résultats à moyen termes des réparations de la coiffe des rotateurs sont bien connus, il existe moins de données sur les résultats à long terme, notamment concernant les gestes associées sur la longue portion du biceps. Alors que certains auteurs recommandent une ténodèse ou ténotomie systématique, d’autres proposent un tel gest...

Introduction Initialement proposé dans les luxations récidivantes antérieures, l’intervention de Trillat a récemment été utilisée avec succès dans les instabilités antérieures associées à une rupture irréparable de la coiffe des rotateurs. Selon le principe d’abaissement du sous scapulaire et le renfort de la sangle antérieure par le tendon coraco...

Introduction Les ruptures massives postéro-supérieures, dégénératives, rétractées avec une atrophie musculaire et une infiltration graisseuse avancée, sont difficiles à réparer. Et le taux de re rupture varie entre 20 et 50 %. Le but de cette étude est de vous rapporter les résultats cliniques et radiographiques d’une réparation arthroscopique avec...

Introduction La greffe osseuse iliaque pour restaurer l’anatomie du bord antérieur de la glène, décrite à ciel ouvert selon la technique d’Eden Hybinette dans les échecs de Latarjet peut être réalisée par arthroscopie. L’objectif de cette étude était de comparer les résultats cliniques et radiographiques de ces deux techniques. Matériel et méthode...

Introduction Le Bankart arthroscopique plus ou moins associé à un remplissage reste l’intervention chirurgicale la plus pratiquée dans le traitement de l’instabilité antérieure récidivante. Cependant, de nombreuses études ont fait état de taux de récidive important, en particulier avec des patients mal sélectionnés. La technique idéale de reprise e...

Purpose: The management of pulseless supracondylar fractures remains controversial. The aims of this study were to: (1) analyse functional and vascular outcomes of conservative treatment for cases with absent pulse before reduction, whether patients showed limb ischaemia or not; and (2) identify factors associated with vascular complications. Met...

Introduction Le but de cette étude est de comparer les résultats cliniques d’une technique arthroscopique de transfert du latissimus dorsi avec ou sans réparation partielle de la coiffe si la rupture postéro-supérieure est considérée en peropératoire non réparable anatomiquement. Matériel et méthodes Trente-cinq patients ont été opérés, en prospec...

Introduction L’implant glénoïdien standard médialisé est associé aux risques d’instabilité, de conflit médial et d’encoche scapulaire. Les pertes de substances majeures glénoïdienne sont traitées par l’association d’une greffe osseuse et d’un implant glénoïdien médialisé avec une longue quille se fixant dans l’os natif. Cette technique est difficil...

Introduction Les transferts tendineux les plus fréquemment décrits pour le traitement des ruptures irréparables du sous-scapulaire (pectoralis major, pectoralis minor) ne reproduisent pas de manière fidèle le vecteur, l’excursion et la force du sous-scapulaire. L’objectif de cette étude cadavérique était de d’évaluer la faisabilité du transfert de...

Introduction Plusieurs problèmes dus à la médialisation excessive du design initial de prothèse totale inversée (PTI) ont été décrits (instabilité, rotation externe limitée, encoche scapulaire). Pour éviter ceux-ci, plusieurs auteurs ont proposé de latéraliser l’offset de la PTI, soit en utilisant une greffe osseuse, soit en utilisant une latéralis...

Hemiarthroplasty implantation for proximal humerus fracture is challenging. In case of young demanding patients with functional rotator cuff, humeral head replacement is an option if open reduction internal fixation is not a viable solution. The criteria for success in terms of clinical outcomes and longevity are anatomic healing of the tuberositie...

Open transfer of the pectoralis minor through a deltopectoral approach has been described to treat irreparable tears of the upper two-thirds of the subscapularis. We present a less invasive arthroscopic-assisted technique for this transfer. Atraumatic dissection of the pectoralis minor and harvesting of the tendon with a bone chip from the coracoid...

Background Scant data are published about different available therapeutic options for restoration of active elbow flexion in arthrogryposis with varying degrees of improvement. In this retrospective study we evaluated medium-term effects of bipolar latissimus dorsi transfer in patients with arthrogryposis. Methods Pedicled latissimus dorsi bipolar...

Purpose: The purpose of this study was to report clinical and radiological results of reverse shoulder arthroplasty (RSA) after failure of either a deltoid and/or a latissimus dorsi transfer. Methods: Between 2001 and 2011, ten patients (average age, 61 years) underwent primary RSA after a failed tendon transfer for irreparable postero-superior...

Background Proximal humerus fractures are common injuries. Locking plates and anterograde medullary nails are the two most common fixation devices used when open reduction and internal fixation (ORIF) is indicated. Complications related to fracture and to hardware are numerous, especially shoulder stiffness. The goal of this study is to report the...

Shoulder hemiarthroplasty has historically been the gold standard treatment for proximal humeral fractures not suitable to open reduction and internal fixation. In the last decades, reverse shoulder arthroplasty has gained more and more importance. Aim of this study is to retrospectively analyze subjective and objective outcomes of a group of conse...

Background Joint surgery is often complicated by gradual bone and cartilage deterioration that eventually leads to secondary osteoarthritis. The primary objective of this study was to identify preoperative risk factors for gleno-humeral osteoarthritis after rotator cuff repair. The secondary objectives were to assess whether the risk of gleno-humer...

Background: Instability is one of the major causes of failures in unconstrained anatomic total shoulder arthroplasty (TSA). This study reviewed the instabilities that may occur in an anatomic shoulder platform system to identify its potential predictors. We hypothesized that soft tissue deficiency was the main cause of instability and that the bes...

Introduction Peu de techniques existe pour traiter les ruptures irreparables ou iteratives du subscapularis avec infiltration graisseuse superieure a 3. Le transfert du pectoralis major (PM) est la technique classique recommandee, mais de nombreuses modifications techniques ont ete apportees : passage en avant ou en arriere du tendon conjoint, prel...

Introduction Les fractures de l’extrémité supérieure de l’humérus peuvent évoluer vers une raideur articulaire, parfois associée à un conflit avec le matériel d’ostéosynthèse. Le but de cette étude est de rapporter les résultats cliniques après arthrolyse sous arthroscopie combinée à l’ablation de ce matériel. Matériel et méthode Cinquante-huit pa...

Introduction L’intervention de Latarjet sous arthroscopie est difficile à la fois pour le positionnement de la butée et lors de l’utilisation des vis de fixation nécessitant une voie d’abord médiale par rapport au tendon conjoint pour être parallèle à l’interligne articulaire. Notre hypothèse était que l’utilisation de guides spécifiques glénoïdien...

Introduction Children with obstetric brachial plexus palsy (OBPP) have usually a motor weakness of shoulder external rotation, which results into a contracture of the internal rotators muscles and deformity of the glenohumeral joint. The aim of this study was to assess results of anterior shoulder release combined with neurotization of suprascapula...

Introduction Children with obstetric brachial plexus palsy (OBPP) have usually a motor weakness of shoulder external rotation, which results into a contracture of the internal rotators muscles and deformity of the glenohumeral joint. The aim of this study was to assess results of anterior shoulder release combined with neurotization of suprascapula...

Introduction L’intervention de Latarjet sous arthroscopie est difficile à la fois pour le positionnement de la butée et lors de l’utilisation des vis de fixation nécessitant une voie d’abord médiale par rapport au tendon conjoint pour être parallèle à l’interligne articulaire Notre hypothèse était que l’utilisation de guides spécifiques glénoïdien...

Purpose: The first purpose of this study is to measure the distance between the axillary nerve and the exit point of K-wires placed retrograde through the glenoid in the setting of an arthroscopic Latarjet procedure. The second objective is to evaluate whether manual external rotation of the scapula alters that distance. Methods: In seven fresh-...

Few salvage procedures have been described in case of irreparable subscapularis tear and with variable outcomes. Latissimus dorsi transfer has been widely proposed as a transfer for irreparable posterio-superior rotator cuff tear with good outcomes. The anatomic feasibility of the latissimus dorsi to reconstruct the antero-superior irreparable rota...

Résumé Introduction La chirurgie articulaire est souvent compliquée de dégradations ostéo-cartilagineuses progressives à l’origine d’omarthrose secondaire. L’objectif principal de cette étude était de déterminer les facteurs de risque arthrosique préopératoires chez un patient opéré d’une réparation de la coiffe des rotateurs. Les objectifs second...