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The American Journal of Sports Medicine 9:283-287 (1981)
© 1981 SAGE Publications

The modified Bristow-Helfet procedure for recurrent anterior shoulder subluxations and dislocations

James A. Hill, MD

Southwestern Orthopaedic Medical Group, Inglewood, California

Stephen J. Lombardo, MD

Southwestern Orthopaedic Medical Group, Inglewood, California

Robert K. Kerlan, MD

Southwestern Orthopaedic Medical Group, Inglewood, California

Frank W. Jobe, MD

Southwestern Orthopaedic Medical Group, Inglewood, California

Vincent S. Carter, MD

Southwestern Orthopaedic Medical Group, Inglewood, California

Clarence L. Shields, JR, MD

Southwestern Orthopaedic Medical Group, Inglewood, California

H. Royer Collins, MD

Southwestern Orthopaedic Medical Group, Inglewood, California

Lewis A. Yocum, MD

Southwestern Orthopaedic Medical Group, Inglewood, California

A review of 107 cases in which the Bristow-Helfet procedure was done for recurrent anterior shoulder subluxation and dislocation is presented. The redis location rate was 2% with very few complications. Eighty-nine percent of the patients were satisfied with the procedure. Mean loss of external rotation was 12.6°. Six of the 41 patients with dominant shoulder surgery were capable of throwing in the same manner as they did prior to injury. Five of 24 patients (21 %) with a diagnosis of recurrent anterior subluxation con tinued to have symptoms of instability following sur gery. Associated symptoms of posterior or voluntary subluxation may preclude a satisfactory result.




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