الفهرس 
Anatomy and Pathophysiology of Shoulder InstabilityOnly 14 pages are availabe for public view
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Abstract
Background: Bone defects, both at the humeral as well glenoid side, are a frequent sequel after a shoulder dislocation, Now it is generally accepted, that in patients with severe bone loss a bone supplementing procedure for the glenoid defect is recommended.
Purpose: To compare the functional and clinical outcomes of anatomical glenoid reconstruction with autologous iliac crest bone graft (ICBG) with Latarjet procedure for recurrent anterior shoulder dislocation with large glenoid bone defect
Methodology This study was conducted on 55 patients with recurrent anterior shoulder instability, forty of them reached at least 6 months follow up. The 15 remaining patients were excluded due to lost follow-up, twenty of them underwent a congruent arc Latarjet procedure and the other 20 patients underwent autogenous tricortical iliac bone graft reconstruction of the glenoid defect.
There were 36 males and 4 females. With a mean age 25.9 years and the mean duration of follow up in our series was 16 month . For clinical evaluation, range of motion, and ROWE and ASES Scores were used.
Results: By comparing preoperative to postoperative values in each procedure, a significant improvements were recorded as range of motion and functional scores.
By comparing ICBG procedure to Latarjet procedure a significant improvements were recorded as range of motion with ICBG.
Conclusion: Anatomical reconstruction with autogenous tricortical iliac bone crest graft is a reasonable alternative to congruent arc Latarjet in patients with recurrent anterior shoulder dislocation with genoid bone defect
Level of evidence: II, Randomized controlled trial.