Shoulder: Latarjet procedure: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Shoulder: Latarjet procedure

Sample item

A rugby player has recurrent anterior shoulder dislocations with a glenoid bone loss of over 20 percent. Which operation provides a bony block plus a sling effect from the conjoint tendon?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Latarjet coracoid transfer

The Latarjet procedure transfers the coracoid process with the conjoint tendon to the anterior glenoid neck. This restores the glenoid arc and adds a dynamic sling when the arm is abducted and externally rotated. It is preferred when there is significant glenoid bone loss or in contact athletes.

Option by option

  • A. Subacromial decompression

    Subacromial decompression treats impingement and does not treat instability.

  • B. Putti-Platt capsulorrhaphy alone

    Putti-Platt tightens the subscapularis and limits rotation, and it does not restore the glenoid.

  • C. Soft tissue Bankart repair alone

    Soft tissue Bankart repair fails more often when there is major glenoid bone loss.

  • D. Latarjet coracoid transfer (correct)

    Correct. Latarjet provides a bony extension and a sling effect for glenoid bone loss.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Orthopaedics questions

Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is D, Latarjet coracoid transfer. The Latarjet procedure transfers the coracoid process with the conjoint tendon to the anterior glenoid neck.

Why is "Subacromial decompression" not the answer?

Subacromial decompression treats impingement and does not treat instability.

Why is "Putti-Platt capsulorrhaphy alone" not the answer?

Putti-Platt tightens the subscapularis and limits rotation, and it does not restore the glenoid.

Why is "Soft tissue Bankart repair alone" not the answer?

Soft tissue Bankart repair fails more often when there is major glenoid bone loss.

What concept does this question test?

It tests Shoulder: Latarjet procedure in Orthopaedics. This restores the glenoid arc and adds a dynamic sling when the arm is abducted and externally rotated. It is preferred when there is significant glenoid bone loss or in contact athletes.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Shoulder: Latarjet procedure?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.