Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability in the Athlete – Key Considerations for Rehabilitation

The Latarjet procedure with transfer of the coracoid process and its attached conjoint tendon is a well-established surgical technique for the treatment of anterior glenohumeral instability in patients with anteroinferior bone loss and/or high risk for recurrence. Biomechanical and clinical studies...

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Autores principales:	Helen Bradley, Lucca Lacheta, Brandon T. Goldenberg, Samuel I. Rosenberg, Matthew T. Provencher, Peter J. Millett
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/e0849a18a4854558b46582cee5315891
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spelling	oai:doaj.org-article:e0849a18a4854558b46582cee53158912021-12-02T17:11:32ZLatarjet Procedure for the Treatment of Anterior Glenohumeral Instability in the Athlete – Key Considerations for Rehabilitation10.26603/001c.187072159-2896https://doaj.org/article/e0849a18a4854558b46582cee53158912021-02-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/18707-latarjet-procedure-for-the-treatment-of-anterior-glenohumeral-instability-in-the-athlete-key-considerations-for-rehabilitation.pdfhttps://doaj.org/toc/2159-2896The Latarjet procedure with transfer of the coracoid process and its attached conjoint tendon is a well-established surgical technique for the treatment of anterior glenohumeral instability in patients with anteroinferior bone loss and/or high risk for recurrence. Biomechanical and clinical studies have shown excellent results and high rates of return to sports. However, there is an absence of standardized, objective criteria to accurately assess an athlete’s ability to progress through each phase of rehabilitation. Return to sports rehabilitation, progressed by quantitatively measured functional goals, may improve the athlete’s integration back to sports participation. Therefore, the purpose of this clinical commentary is to provide a rehabilitation protocol for the Latarjet procedure, progressing through clearly defined phases, with guidance for safe and effective return to sport. Recommended criteria are highlighted which allows the clinician to progress the patient through each phase appropriately rather than purely following timeframes from surgery. This progression ensures the patient has completed a thorough rehabilitation program that addresses ROM, strength, power, neuromuscular control and a graded return to play. Level of Evidence: 5Helen BradleyLucca LachetaBrandon T. GoldenbergSamuel I. RosenbergMatthew T. ProvencherPeter J. MillettNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Helen Bradley Lucca Lacheta Brandon T. Goldenberg Samuel I. Rosenberg Matthew T. Provencher Peter J. Millett Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability in the Athlete – Key Considerations for Rehabilitation
description	The Latarjet procedure with transfer of the coracoid process and its attached conjoint tendon is a well-established surgical technique for the treatment of anterior glenohumeral instability in patients with anteroinferior bone loss and/or high risk for recurrence. Biomechanical and clinical studies have shown excellent results and high rates of return to sports. However, there is an absence of standardized, objective criteria to accurately assess an athlete’s ability to progress through each phase of rehabilitation. Return to sports rehabilitation, progressed by quantitatively measured functional goals, may improve the athlete’s integration back to sports participation. Therefore, the purpose of this clinical commentary is to provide a rehabilitation protocol for the Latarjet procedure, progressing through clearly defined phases, with guidance for safe and effective return to sport. Recommended criteria are highlighted which allows the clinician to progress the patient through each phase appropriately rather than purely following timeframes from surgery. This progression ensures the patient has completed a thorough rehabilitation program that addresses ROM, strength, power, neuromuscular control and a graded return to play. Level of Evidence: 5
format	article
author	Helen Bradley Lucca Lacheta Brandon T. Goldenberg Samuel I. Rosenberg Matthew T. Provencher Peter J. Millett
author_facet	Helen Bradley Lucca Lacheta Brandon T. Goldenberg Samuel I. Rosenberg Matthew T. Provencher Peter J. Millett
author_sort	Helen Bradley
title	Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability in the Athlete – Key Considerations for Rehabilitation
title_short	Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability in the Athlete – Key Considerations for Rehabilitation
title_full	Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability in the Athlete – Key Considerations for Rehabilitation
title_fullStr	Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability in the Athlete – Key Considerations for Rehabilitation
title_full_unstemmed	Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability in the Athlete – Key Considerations for Rehabilitation
title_sort	latarjet procedure for the treatment of anterior glenohumeral instability in the athlete – key considerations for rehabilitation
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/e0849a18a4854558b46582cee5315891
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Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability in the Athlete – Key Considerations for Rehabilitation

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