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MORPHOLOGICAL ANALYSIS OF THE SCAPULA AND ITS IMPLICATIONS IN BRISTOW-LATARJET PROCEDURE

ANÁLISE MORFOLÓGICA DA ESCÁPULA E AS SUAS IMPLICAÇÕES NO PROCEDIMENTO DE BRISTOW-LATARJET

ABSTRACT

Objective:

To assess which of two procedures, Bristow or Latarjet, is anatomically the most appropriate for the general population.

Methods:

One thousand one hundred and thirty two shoulders were evaluated by an observer who measured the following coracoid process parameters - length, angle and minimum thickness - through Computed Tomography (CT) analysis. Statistical analysis was carried out by ANOVA and Bland-Altman tests.

Results:

The mean length, angle and minimum thickness of the coracoid were 27.0 ± 3.80 mm; 103.54 ± 14.03°; and 9.16 ± 6.38 mm, respectively. Gender differences were statistically significant.

Conclusion:

According to this image-based anatomic study, the coracoid process dimensions do not influence the choice between Bristow or Latarjet procedures. Level of Evidence III, Therapeutic Studies - Investigating the Results of Treatment.

Keywords:
Shoulder dislocation/etiology. Joint instability. Range of motion; articular. Treatment outcome

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