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Anterior glenohumeral instability is a common clinical entity, particularly among young athletic patient populations. Coracoid transfer, particularly the Latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the setting of osseous deficiencies greater than 15% to 30% of the glenoid surface area and may also be considered for the primary treatment of recurrent instability in the high-risk contact athlete, even in the setting of limited osseous deficiency. The following describes my technique for a Latarjet procedure, performed with a subscapularis split, including how to manage the capsule, and provide robust fixation. We have found in our lab that a 2-solid screw 4.0mm diameter fixation construct well exceeds 250N of force to ensure solid healing of the coracoid to the glenoid.

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