Recurrent Anterior Dislocation of the Shoulder Treated by Putti-Platt Procedure

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Six shoulder joints of five cases with recurrent anterior dislocation were treated by the Putti-Platt procedure. The age distribution was ranged from 16 to 24 years. At first, five joints dislocated by trauma and one without trauma. Five joints got no special fixation after primary reduction.On X-ray check in approximately 60° internally rotated position, revealed bony defect of humerus in five joints, and the capsules were found extended more or less in all of them on arthrogram. Detachment and looseness of the capsule and avulsion of the glenoidal labrum were found at surgery.Except one joint had no recurrence of dislocation after surgery and showed slight limitation of external rotation of the shoulder joint. No disabling in daily life was complained.
西日本整形・災害外科学会の論文