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ABSTRACT For hemiarthroplasty reconstruction of a proximal hu- merus fracture, accurate restoration of humeral head po- sition is challenging, and incorrect prosthetic placement is associated with a poor outcome of surgical treatment. To recreate proper humeral length during the surgery is difficult even when preoperative planning is possible. We now use the pectoral major tendon insertion dis- tance to the top of the humeral head during the procedure to recreate the humeral length by testing positioning of the prosthesis at 5.5 cm from this reference. With this technique, we have been successful in recreating the proper humeral length of the first 11 cases of proximal humerus fracture that we treated with shoulder hemiar- throplasty.

Objective To evaluate the presence of x ray changes in the proximal humerus growth plate of 21 young pitchers. Design Case series. Setting This study was conducted at the Orthopaedic and Traumatology Department of the ABC College of Medicine, Santo Andre, Sao Paulo, Brazil, tertiary institution. Patients 21 male adolescent baseball pitchers, with a mean age of 14.5 years and selected from the Brazilian National Team, were studied. Interventions The patients underwent x ray examinations of the shoulders. Main outcome measurements The x rays of the pitchers’ shoulders were studied to determine any changes in the proximal humeral growth plate and correlate them with clinical findings. Results Fourteen athletes (66%) had radiographic changes in the humerus growth plate but only 5 (36%) had pain complaints. Nine of these 14 cases (64%) whom the observers found radiographic changes did not complain of pain. It was also observed that there was a correlation in only 11 cases between clinical and radiographic evaluations. Conclusion Radiographic changes in the proximal humerus growth plate were found in 66% of the cases, but 64% were asymptomatic. These changes indicate possible evolution, in the future, to a greater degree of retroversion in pitchers’ dominant shoulders.

Objective: To determine the distance between the axillary nerve and the antero-lateral (AL) edge of the acromion, its anatomical variability and relationship to humeral length and body height. Methods: Twenty-two shoulders were dissected. The anterosuperior (AS) approach was used; the deltoid was detached from the acromion and the distance between the AL portion and the axillary nerve was measured and submitted to statistical analysis. Results: The distance varied from 4.3 to 6.4 cm (average 5.32 ± 0.60 cm). The axillary nerve distance increased as the humeral size (p

Background : The proximal fractures of the femur are counted among the group of orthopedic and traumatic pathologies which consume most of the financial resources set aside for health worldwide. Surgical treatment continues to be the treatment of choice for intertrochanteric fractures of the femur. However, although the surgical treatment of the proximal fracture of the femur is widely known and accepted in the orthopedic field, it is not without risk with the cut out being the most feared complication. Objective: This paper describes the complications of cut out or the anisomelia of the lower limbs of patients with intertrochanteric fractures who underwent valgus reduction surgery. Method: Sixty-one patients with 3rd and 4th degree, according to Tronzo classification, intertrochanteric fractures underwent surgery with the use of Dynamic hip screw type sliding screw and valgus reduction. The data were analyzed one year after surgery, when a functional assessment was made by scanometry, Tip-Apex Distance index diaphyseal cervical angle and the modified Merle d'Aubigne & Postel questionnaire. Kruskal-Wallis and Mann-Whitney tests were used for the statistical analysis, Spearman’s correlation test for the quantitative variables and the chi-squared test for the qualitative variables. Results: The correlation between the Tip-Apex Distance index and the diaphyseal cervical angle was statistically significant (rho=0.391, p=0.002), while the correlations between the Tip-Apex Distance index and the scanometry and the diaphyseal cervical angle and the scanometry were not significantly correlated. In accordance with the modified Merle d’Aubigne & Postel questionnaire, 23 patients (37.7%) achieved a very good result, 29 patients (47.5%) had a good result, five patients (8.2%) obtained a moderately good result, one patient (1.6%) presented a reasonable result and three patients (4.9%) obtained a poor result. Conclusion: No cut out complications occurred in the 3rd and 4th degree intertrochanteric fractures with a Baumgaertner index ≥ 25 mm, when the reduction and valgus fixation of the intertrochanteric fracture was performed with the Dynamic hip screw type sliding pin, as there was also, in the majority of patients, no anisomelia of the lower limbs.

Background: Total hip arthroplasty involves replacing the hip joint with a prosthesis. This procedure aims to restore the function and relief in painful hip joint of patients with hip disorders who have failed in the nonoperative treatment (conservative). The surgery has dramatically improved the quality of life and independence of people who have disorders in the hip. With technological advances, new techniques and materials emerge and gradually improve the success of this intervention on quality of life of patients. Among the models used to perform total hip arthroplasty, one can cite the resurfacing method, suitable for young people and adults which uses a femoral head prosthesis on the surface for the preservation of the head and neck of the femur and a component of type acetabular prosthesis monoblock, similar to conventional total hip prosthesis Objective: To describe the quality of life and functionality of patients undergoing arthroplasty surgery Hip Resurfacing. Methods: We conducted a cross-sectional study of 30 patients hospitalized in the Hospital Estadual Mario Covas and undergoing surgery for total hip arthroplasty during the period 2008 to 2010. The patients were evaluated pre-surgery and at 12 and 48 months postoperatively by means of two questionnaires, the Harris Hip Score and SF-36. Results: The sample consisted of 30 individuals with an average age of 46.83. The findings were significant p

Apresentamos o relato de um caso de lesão da pequena liga no ombro num jovem atleta de 14 anos e do sexo masculino, jogador da seleção Brasileira de Beisebol. Esta lesão é incomum e pouco descrita na literatura. O tratamento realizado foi a suspensão das atividades esportivas por três meses, seguida do retorno gradual aos arremessos. O paciente evoluiu com a resolução do quadro clínico. Here we describe a case report of a small ligament injury in the shoulder of a 14-year-old young male athlete, player of the Brazilian Baseball National team. This kind of injury is uncommon and little described in literature. Treatment provided was the suspension of sport-related activities for three months, followed by a gradual return to throws. The patient evolved to clinical picture resolution.

Made available in DSpace on 2022-04-28T18:58:34Z (GMT). No. of bitstreams: 0 Previous issue date: 2013-10-22 Background: We aimed to establish values and parameters using multislice reconstruction in axial computerized tomography (CT) in order to quantify the erosion of the glenoid cavity in cases of shoulder instability. Methods. We studied two groups using CT. Group I had normal subjects and Group II had patients with shoulder instability. We measured values of the vertical segment, the superior horizontal, medial and inferior segments, and also calculated the ratio of the horizontal superior and inferior segments of the glenoid cavity in both normal subjects and those with shoulder instability. These variables were recorded during arthroscopy for cases with shoulder instability. Results: The mean values were 40.87 mm, 17.86 mm, 26.50 mm, 22.86 mm and 0.79 for vertical segment, the superior horizontal, medial and inferior segments, and the ratio between horizontal superior and inferior segments of the glenoid cavity respectively, in normal subjects. For subjects with unstable shoulders the mean values were 37.33 mm, 20.83 mm, 23.07 mm and 0.91 respectively. Arthroscopic measurements yielded an inferior segment value of 24.48 mm with a loss of 2.39 mm (17.57%). The ratio between the superior and inferior segments of the glenoid cavity was 0.79. This value can be used as a normative value for evaluating degree of erosion of the anterior border of the glenoid cavity. However, values found using CT should not be used on a comparative basis with values found during arthroscopy. Conclusions: Computerized tomographic measurements of the glenoid cavity yielded reliable values consistent with those in the literature. © 2013 Ikemoto et al.; licensee BioMed Central Ltd. Department of Orthopaedics and Traumatology Faculdade de Medicina Do ABC, Av. Príncipe de Gales, 821, 09060-650 Santo-Andre-SP Department of Orthopaedics and Traumatology Faculdade de Ciências Médicas Santa Casa de Misericórdia de São Paulo (SCMSP), Av. Príncipe de Gales, 821, 09060-650 Santo-Andre-SP Faculty of Philosophy and Sciences UNESP, Av. Hygino Muzzi Filho, 737, Marilia, SP 17.525-900 Faculty of Philosophy and Sciences UNESP, Av. Hygino Muzzi Filho, 737, Marilia, SP 17.525-900

Submitted by Vitor Silverio Rodrigues (vitorsrodrigues@reitoria.unesp.br) on 2014-05-27T11:26:51Z No. of bitstreams: 0Bitstream added on 2014-05-27T14:31:40Z : No. of bitstreams: 1 2-s2.0-84862314028.pdf: 813718 bytes, checksum: c660720d7abbeca8b91ccb2b1e71e8d2 (MD5) Made available in DSpace on 2014-05-27T11:26:51Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-06-22 There are situations which the tomographic exam is done on the affected hip or situations where the contralateral hip presents abnormalities that make it impossible to compare. In this study we aimed to evaluate a tomographic index that does not require comparison between the both hips. Twenty two patients with unilateral acetabular fracture dislocation with fracture of posterior wall were studied. We established the relationship between the remaining posterior wall and the femoral head diameter (head/wall index-H/W index). We evaluated 45 two-dimensional computed tomography scan in normal hips and established the H/W index. In 45 normal hips we simulated a posterior wall fracture with involvement of 25% and 30% of the posterior wall and calculated the H/W index. We divided into five groups with five different H/W index (fractured group with non surgical treatment; fractured group; normal group; normal group with simulated fracture of 25% and; 30% of the posterior wall). 2.4 was the lowest limit of confidence interval of the group with 25% of the posterior wall fracture. When we analyzed the confidence interval of the 30% fracture group the upper limit of the confidence interval was 2.7, close to the lower limit of the surgical group that was 2.9. Thus, we suggest the 2.4 the H/W index limit as an auxiliary criteria to indicate whether or not to operate. H/W index is helpful to decide whether or not surgery indication in the fracture dislocation of the posterior wall of the acetabulum. © 2012 Fujiki et al.; licensee BioMed Central Ltd. Departamento de Cirurgia Ortopédica Faculdade de Medicina do ABC, Santo André, SP Laboratário de Escrita Científica Departamento de Morfologia e Fisiologia Faculdade de Medicina do ABC, Santo André, SP Departamento de Fonoaudiologia Faculdade de Filosofia e Ciências Universidade Estadual Paulista, Marília, SP Disciplina de Cirurgia Ortopédica Faculdade de Medicina Do ABC, Av. Príncipe de Gales, 821, 09060-650, Santo André, SP Departamento de Fonoaudiologia Faculdade de Filosofia e Ciências Universidade Estadual Paulista, Marília, SP

OBJETIVO: Avaliar os resultados clínico-funcionais das reparações artroscópicas de lesões pequenas e médias do tendão do músculo supraespinal. MÉTODOS: Foram avaliados, retrospectivamente, 129 casos de lesões isoladas pequenas ou médias do tendão do músculo supraespinal. O tempo médio de dor foi de 29 meses. A amplitude articular média era de 136º de elevação ativa, 48º de rotação lateral, rotação medial no nível T12 e a escala funcional pré-operatória da UCLA foi, em média, de 17 pontos. Em todos os casos foi possível o reparo completo da lesão. RESULTADOS: A pontuação pela escala funcional da UCLA no período pós-operatório foi, em média, de 32 pontos. O tempo médio de seguimento foi de 39 meses. Setenta e cinco casos (58%) tiveram resultados excelentes e 42 (32%), bons. A elevação ativa final teve a média de 156º, com ganho médio de 20º, e a rotação lateral final foi, em média, de 57º, com ganho médio de 9º, ambos estatisticamente significativos (P < 0,05). Os pacientes submetidos à tenotomia da cabeça longa do bíceps (CLB), com ou sem tenodese, não apresentaram resultado funcional estatisticamente inferior àqueles que foram submetidos somente à descompressão e reparo da lesão (P = 1,00). Quatorze casos (10,8%) apresentaram complicações no período pós-operatório. Seis casos (4,6%) desenvolveram capsulite adesiva e quatro (3,1%) tiveram rerruptura do tendão comprovada por ressonância magnética. CONCLUSÕES: O reparo artroscópico das lesões pequenas e médias do tendão do músculo supraespinal proporcionou melhora clínico-funcional com bons e excelentes resultados em 90% dos casos. OBJECTIVE: To evaluate the clinical and functional outcomes from arthroscopic repairs on small and medium-sized tears of the supraspinatus muscle tendon. METHODS: 129 cases of isolated small and medium tears of the supraspinatus muscle tendon were evaluated retrospectively. The average duration of pain was 29 months. The average joint range of motion comprised active elevation of 136º, lateral rotation of 58º and medial rotation at T12 level; and the preoperative functional UCLA score averaged 17 points. In all the cases, complete repair could be achieved. RESULTS: The average score on the UCLA functional scale in the postoperative period was 32 points. The average length of follow-up was 39 months. Seventy-five cases (58%) had excellent results and 42 (32%) had good results. The average final active elevation was 156º with an average gain of 20º, and the average final lateral rotation was 57º with an average gain of 9º. Both of these were statistically significant (P < 0.05). The patients who underwent tenotomy of the long head of the biceps (LHB), with or without tenodesis, did not present statistically inferior functional outcomes, in comparison with the patients who only underwent decompression and lesion repair (P = 1.00). Fourteen cases (10.8%) presented complications during the postoperative period. Six (4.6%) developed adhesive capsulitis and four (3.1%) presented re-rupture of the tendon, proven by means of magnetic resonance imaging. CONCLUSIONS: Arthroscopic repair of small and medium tears of the supraspinatus muscle tendon provided a functional clinical improvement, with good and excellent results in 90% of the cases.

OBJETIVO: Descrever a experiência inicial de quatro serviços ortopédicos com a artroplastia total do cotovelo (ATC) Bi-Contact® relatando os resultados e complicações do procedimento. MÉTODOS: Estudo retrospectivo, através da análise de prontuários, de pacientes submetidos à ATC primária com modelo de prótese desenvolvido junto ao IOT-HCFMUSP. Foram avaliados 46 cotovelos (45 pacientes) operados de 2000 a 2009 em quatro serviços ortopédicos. RESULTADOS: A maioria dos pacientes era do sexo feminino (74%) e a mediana da idade foi de 62,5 anos. Os diagnósticos encontrados foram sequela de trauma (47,83%), artrite reumatóide (32,61%), osteoartrose primária (8,7%), fraturas agudas (6,52%) e ossificação heterotópica (2,17%). A mediana do tempo de acompanhamento foi de 2,08 anos (0,25-9). O procedimento melhorou significativamente a dor e o arco de movimento. Foi evidenciada a presença de pelo menos uma complicação em 69,57% dos casos, sendo as principais infecção (28,26%), necessidade de revisão (28,26%), fratura intraoperatória (15,22%) e soltura asséptica (15,22%). CONCLUSÃO: A ATC do tipo Bi-Contact® propiciou uma melhora significativa na dor e no arco de movimento na presente série. O índice de complicação é alto, sendo as mais frequentes infecção, soltura asséptica e fratura intraoperatória. OBJECTIVE: To describe the initial experience of four orthopedic clinics from using Bi-Contact® total elbow arthroplasty (TEA), reporting the results and complications of the procedure. METHODS: This was a retrospective study, through analysis on the medical records of patients who underwent primary TEA using a prosthesis model developed in conjunction with IOT-HCFMUSP. Forty-six elbows (45 patients) that were operated at four orthopedic clinics between 2000 and 2009 were evaluated. RESULTS: The majority of the patients were female (74%), and the median age was 62.5 years. The diagnoses encountered were trauma sequelae (47.83%), rheumatoid arthritis (32.61%), primary osteoarthrosis (8.7%), acute fractures (6.52%) and heterotopic ossification (2.17%). The median length of follow-up was 2.08 years (0.25-9). The procedure significantly alleviated pain and improved range of motion. It was observed that at least one complication was present in 69.57% of the cases, and the main ones were infection (28.26%), need for revision (28.26%), intraoperative fracture (15.22%) and aseptic loosening (15.22%). CONCLUSION: Bi-Contact® TEA provided significant alleviation of pain and improvement of range of motion in the present series. The complication rate was high, and the most frequently observed complications were infection, aseptic loosening and intraoperative fracture.

Introducao: As fraturas supra e intercondilianas do umero, em adultos, sao lesoes complexas e de dificil tratamento, pelas caracteristicas anatomicas locais e pela grande fragmentacao ossea que geralmente ocorre. Objetivo: Avaliar o resultado funcional do tratamento cirurgico dessas fraturas em adultos. Metodo: No periodo de junho de 1999 a agosto de 2005, 22 pacientes (22 cotovelos) com idade entre 20 e 70 anos, com fraturas supra e intercondilianas do umero, foram submetidos a tratamento cirurgico mediante reducao aberta e fixacao interna rigida, com placas e parafusos de 3,5 mm, por via de acesso posterior. Resultados: De acordo com o criterio de Jupter et al , obtivemos 68,2% de resultados classificados como satisfatorios e, como complicacoes do tratamento, um paciente (4,5%) apresentou neuropraxia ulnar, que regrediu espontaneamente e outros dois (9%) que apresentavam dor no olecrano, causada pelo material de sintese. Apos a retirada desse material de sintese referiram melhora. Conclusoes: O tratamento cirurgico para as fraturas supra e intercondilianas do umero mostrou ser um metodo eficaz com 68,2% de resultados classificados como satisfatorios neste estudo.

Introducao: Descrever um padrao diferente de fratura do processo coronoide associada a instabilidade do cotovelo tratada com sucesso em nosso servico. Relato do caso: Um paciente de 27 anos, do sexo masculino e destro, havia sofrido luxacao do cotovelo. Procurou nosso hospital com uma queixa de dor e instabilidade a extensao do cotovelo, apresentando instabilidade em varo-valgo e queixa de luxacao eminente do cotovelo quando este atingia -30o de extensao. No exame radiografico, observou-se uma fratura anteromedial do processo coronoide. Submetido ao tratamento cirurgico fixando-se a fratura, reparando-se o ligamento colateral medial, imobilizado-se com uma tala gessada por dez dias e, depois, iniciando-se o programa de reabilitacao. Apos 21 meses de seguimento, o paciente mantinha 135° de flexao e 0° de extensao, 80° de pronacao e 90° de supinacao; forca muscular grau V e sem instabilidade no exame fisico. As radiografias de controle demonstraram consolidacao completa sem ossificacao heterotopica. Discussao: Apesar de ser um tipo raro de fratura do processo coronoide, e importante que seja devidamente diagnosticado pelo ortopedista para que se realize o tratamento adequado e se evite a instabilidade cronica. O presente caso foi tratado com sucesso por meio de reducao aberta e fixacao interna, sem nenhuma queixa de instabilidade apos 21 meses de seguimento.

OBJETIVO: O objetivo do trabalho foi comparar a resistência entre os pontos simples, duplo e Mason-Allen modificado, utilizados para o reparo do manguito rotador, e verificar se há diferença significativa que justifique a utilização do ponto do tipo Mason-Allen modificado ao invés dos pontos simples ou duplo. MÉTODO: Retiramos tendões do músculo supra-espinal de 15 cadáveres humanos frescos (30 ombros), com a média de idade de 45 anos. Os testes foram realizados na máquina universal de ensaio mecânico Kratos® 500/2000 e os resultados submetidos aos testes estatísticos de t-student, análise de variância (ANOVA), comparação múltipla de Bonferroni e calculadas as correlações de Pearson. Os testes foram realizados ao nível de significância de 5%. RESULTADOS: Não houve diferença significativa com relação à idade, ao tamanho das amostras e deslocamento do tendão. A resistência variou com média de 127,50 N com o ponto simples, 163,95 N com o duplo e com o ponto de Mason-Allen modificado esta foi de 198,45 N. CONCLUSÃO: não existe diferença da resistência no tendão quanto à falha na interface sutura - tendão comparando-se o ponto duplo com o Mason-Allen modificado e os pontos simples e duplo, porém há diferença quando comparados os pontos simples e Mason-Allen modificado. OBJECTIVE: The purpose of this study was to compare the rotator cuff tendon resistance at the interface tendon-suture using three different sorts of stitches (simple, mattress and modified Mason-Allen). METHODS: To do this, 30 rotator cuffs were totally dissected from 15 specimens, which were 45 years old on average. The tests were done using a Kratos® 500/2000 machine and the statistical analyses applied were the Student t-test, ANOVA test, Multiple Bonferroni Comparison, and Pearson's correlation coefficients; all the analyses used a significance level of 5%. RESULTS: No significant difference was observed regarding the age, sample sizes and tendon displacement. The tendon resistance was 127.50 N on average when Simple stitches were used, 163.95 N when Double stitches were used and 198.45 N when the Modified Mason-Allen Knot was used. CONCLUSION: Although the tendon resistance at the interface tendon-suture was higher using the Modified Mason-Allen stitches than it was when using the Double and Simple Knots, there was no difference in tendon resistance when using the Modified Mason-Allen and Double stitches. On the other hand, we found that tendon resistance was higher when using Modified Mason-Allen stitches as compared to tendon resistance when using Simple stitches.

OBJETIVOS: Avaliar a microcirculacao das bordas do tendao supra-espinal nas lesoes do manguito rotador com a finalidade de determinar a necessidade ou nao do desbridamento de suas bordas no momento do seu reparo cirurgico. METODOS: No periodo de junho a dezembro de 2004, foram avaliadas amostras recolhidas de 31 pacientes portadores de lesao completa do tendao supra-espinal, submetidos ao tratamento da lesao do manguito rotador por via artroscopica. Apresentavam idade entre 42 e 82 anos (media de 56,6 anos), sendo nove do sexo masculino e 22 do feminino. Durante a realizacao do procedimento, foram retiradas amostras de tecido da lesao do manguito rotador e enviadas para estudo anatomopatologico com coloracao com hematoxilina-eosina. Apos esse processo, foi realizada a contagem das fendas vasculares/mm2. Utilizaram-se como grupo controle 10 amostras de tendoes normais do supra-espinal de cadaveres frescos, submetidos aos mesmos processos anteriores. Os resultados obtidos foram avaliados estatisticamente atraves da aplicacao do teste de Mann-Whitney. RESULTADOS: Entre as amostras, 28 apresentaram tecidos vascularizados e tres, ausencia de vascularizacao. O numero medio de fendas vasculares/mm2 nas amostras de lesoes do manguito rotador foi estatisticamente maior que o do grupo controle. CONCLUSAO: A maioria das bordas das lesoes dos tendoes do supra-espinal e hipervascularizada.

De ocorrência rara no futebol, esporte coletivo mais praticado no mundo, as fraturas de acetábulo que se associam às luxações da articulação do quadril são lesões com grande potencial de gerar seqüelas graves e limitantes. O rápido atendimento, a precisão do diagnóstico e procedimentos de salvamento da articulação pela redução e correta fixação são essenciais para perspectiva de retomar a atividade física regular praticada anteriormente ou outra que se adapte à nova situação. Uncommon in soccer, the world's most popular sport, the acetabular fractures with hip dislocation are injuries with high incidence of long-term serious sequelae. Prompt attending with accurate diagnosis and reduction and fixation are important to produce a stable and congruent joint for returning to the usual sports practice prior the injury.

OBJETIVOS: Avaliar a retroversão da cabeça do úmero em jogadores de handebol e sua relação com a movimentação do ombro. MATERIAIS E MÉTODOS: Foram avaliados 17 jogadores profissionais por meio de exame físico e avaliação radiográfica, para se determinar o ângulo de retroversão e, sua relação com o arco de movimento. O mesmo foi realizado num grupo controle. RESULTADOS: A diferença entre a média do ângulo de retroversão da cabeça do úmero do membro dominante e não dominante foi de 3,06°. Entre eles, aqueles que tiveram um início de treino antes dos 10 anos, apresentaram uma média desse ângulo de 36,29°, enquanto que aqueles que iniciaram acima dessa idade tinham uma média de 26,6° (p< 0,05). A média da rotação lateral do membro dominante, cujo ângulo de retroversão era maior que 30°, foi 112,27°, e naqueles, em que o ângulo era inferior ou igual a 30°, a média foi 95,10° (p

Objective: To evaluate the efficacy of suprascapular nerve block in combination with infusion of anesthetic into the subacromial space, compared with interscalene block. Methods: Forty-five patients with small or medium-sized isolated supraspinatus tendon lesions who underwent arthroscopic repair were prospectively and comparatively evaluated through random assignation to three groups of 15, each with a different combination of anesthetic methods. The efficacy of postoperative analgesia was measured using the visual analogue scale for pain and the analgesic, anti-inflammatory and opioid drug consumption. Inhalation anesthetic consumption during surgery was also compared between the groups. Results: The statistical analysis did not find any statistically significant differences among the groups regarding anesthetic consumption during surgery or postoperative analgesic efficacy during the first 48 hours. Conclusion: Suprascapular nerve block with infusion of anesthetic into the subacromial space is an excellent alternative to interscalene block, particularly in hospitals in which an electrical nerve stimulating device is unavailable.

Objective: Evaluate the results from the Latarjet procedure in patients with anterior recurrent dislocation of the shoulder who present bone loss of the glenoid cavity greater than 25%. Methods: Twenty six male patients underwent the Latarjet procedure, The bone loss was evaluated by means of radiography using the Bernageau view and by means of CAT scan. The patients were evaluated with regard to range of motion, using the Rowe and UCLA scales, before and after the operation, and by radiographs to assess the presence of arthrosis, position and consolidation of the graft and positioning of the screws. Statistical analysis was used to assess whether there was any relationship between the number of episodes of dislocation and the presence of arthrosis, , and any relationship between arthrosis and limitations on lateral rotation. Differences in range of motion between the operated and unaffected sides and in the UCLA and Rowe scale. Results: The means for elevation and lateral rotation were statistically poorer on the operated side. The UCLA and Rowe scale showed that there was a statistically significant improvement in the clinical-functional results (P < 0.001 for both). There was a relationship between the number of episodes of dislocation and the presence of arthrosis, We also did not observe any correlation between limitations on lateral rotation and arthrosis. Conclusion: The Latarjet procedure is an efficient method for cases of severe erosion of the glenoid margin.