Arthroscopic capsular release combined with Latarjet procedure for chronic locked anterior shoulder dislocation secondary to epilepsy: a case report with one-year follow-up.

BACKGROUND

Chronic anterior shoulder dislocation is rare and poses significant therapeutic challenges due to associated structural injuries. This case report details the management of a chronic dislocation with complex pathologies.

CASE PRESENTATION: A 28-year-old female patient presented with persistent left shoulder deformity and restricted motion 1 year after an anterior dislocation. Imaging revealed a locked anterior dislocation, Bankart lesion, Hill-Sachs lesion, pseudoglenoid formation, and rotator cuff atrophy. Preoperative functional scores were poor.

INTERVENTION: Arthroscopic posterior capsular release and glenoid osteoplasty were performed, followed by open Latarjet procedure with coracoid transfer and screw fixation. Temporary Kirschner wire stabilization was maintained for 2 weeks.

OUTCOMES: At 1-year follow-up, shoulder mobility significantly improved and functional scores markedly increased with no recurrence. The patient reported high satisfaction.

CONCLUSION

The Latarjet procedure combined with arthroscopic release effectively restored stability and function in chronic anterior shoulder dislocation caused by epileptic seizure. Early postoperative rehabilitation is critical for optimal recovery.