Combined Arthroscopic Capsular Release and Latarjet Procedure for Managing Chronic Locked Anterior Shoulder Dislocation Due to Epilepsy: A One-Year Follow-Up Case Study

Overview

This case report presents a 28-year-old female with chronic locked anterior shoulder dislocation due to epilepsy, treated with combined arthroscopic capsular release and Latarjet procedure. At one-year follow-up, improvements in shoulder mobility and functional scores were noted.

Background

Chronic anterior shoulder dislocation is a rare condition that presents significant therapeutic challenges, often associated with structural injuries such as Bankart and Hill-Sachs lesions. Effective management is crucial for restoring function and stability, particularly in patients with underlying conditions like epilepsy.

Data Highlights

Preoperative functional scores: UCLA Score: 21/35, Constant-Murley Score: 54/100. Postoperative outcomes at 1-year follow-up showed improvements in shoulder mobility and functional scores.

Key Findings

• The patient had a locked anterior dislocation with associated Bankart and Hill-Sachs lesions.
• Preoperative imaging revealed structural abnormalities including pseudoglenoid formation and rotator cuff atrophy.
• Combined arthroscopic release and Latarjet procedure were performed.
• At one-year follow-up, shoulder mobility improved and functional scores increased.
• The patient reported satisfaction with the surgical outcome.

Clinical Implications

The combination of arthroscopic capsular release and the Latarjet procedure may be a surgical approach for managing chronic locked anterior shoulder dislocation.

Conclusion

This case demonstrates the management of chronic locked anterior shoulder dislocation through a combined surgical approach.

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