The Latarjet procedure is a specific shoulder stabilization procedure that is a great treatment option for someone with anterior shoulder instability who has failed to show improvement after therapy, has failed a prior Bankart repair and/or demonstrates bone loss of the ball or socket. Anterior instability of the shoulder occurs when the anterior (front) region of the capsulolabral complex is torn. This tear of the labrum from the glenoid (socket of the shoulder joint) leads to a higher risk of the humeral head (ball of the shoulder joint) dislocating out of the glenohumeral joint (shoulder socket). The instability can also arise after acute or recurrent dislocations results in bone loss of the glenoid (socket).  In these instances a standard labrum repair (Bankart repair), may not be sufficient to restore stability, therefore additional bony stabilization is needed.  The goal of the operation is to add stability, add surface area to the socket, and add beneficial tension to the injured region of the shoulder. This open surgery begins with entering into the shoulder joint and cleaning up any loose and frayed soft tissue. Next, the coracoid, a small bony process attached to the scapula (shoulder blade), is located underneath the clavicle (collarbone). The coracoid serves an attachment point for several tendons, including the short head of the bicep (upper arm muscle). The coracoid is cut and detatched from the scapula, keeping the tendons and muscles attached to its tip.  It is then positioned onto the front portion of the glenoid (socket) to increase the overall bone surface area of the glenoid (socket). After ensuring that the coracoid lays flush with the glenoid, two metal screws are used to secure the coracoid in position. The coracoid provides stability to the glenohumeral joint and decreases the risk for an anterior dislocation. The transfer of the short head of the bicep tendon also adds a beneficial tension to several muscles around the shoulder and increases the stability of the arm while raising the arm from the patient’s side. Patients are required to wear a sling after surgery for 6-8 weeks, and rehabilitation to regain motion and strength begins immediately. Higher-level strengthening may begin at three months, provided full motion is achieved without pain, and contact athletics may begin between 4-6 months.