Ha'Eri G B
Clin Orthop Relat Res. 1986 May(206):196-201.
Most of the operative techniques described for the treatment of recurrent anterior dislocations or subluxations of the shoulder have two distinct disadvantages: the need to immobilize the arm for several weeks and loss of external rotation. These disadvantages provided an incentive for conducting a clinical evaluation of an operation originally described by Boytchev and modified by the author. In this procedure, the conjoined tendons of the coracobrachialis and the short head of the biceps with the detached tip of the coracoid process are rerouted posterior to the subscapularis muscle and reattached to the coracoid process, providing a dynamic muscular sling immediately anteroinferior to the glenohumeral joint, especially when the arm is in a vulnerable position of abduction and external rotation. A total of 26 repairs with a minimal follow-up period of two years were reviewed. There were 22 men and four women with an average age of 22 years. The results were satisfactory in all patients. Loss of external rotation of less than 15 degrees was noted in eight patients. There were no redislocations. This procedure provides immediate stability to the shoulder allowing range of motion exercises to begin from the first postoperative day.
需要将手臂固定数周以及外旋功能丧失。这些缺点促使对最初由博伊切夫描述并经作者改良的一种手术进行临床评估。在该手术中，将肱二头肌短头和喙肱肌的联合肌腱与喙突分离的尖端在肩胛下肌后方重新布线，并重新附着于喙突，在盂肱关节的前下方立即形成一个动态肌肉吊带，尤其是当手臂处于外展和外旋的易脱位位置时。回顾了总共26例修复手术，最短随访期为两年。有22名男性和4名女性，平均年龄为22岁。所有患者的结果均令人满意。8名患者的外旋丧失小于15度。没有再脱位情况。该手术为肩部提供了即时稳定性，允许从术后第一天就开始进行活动度练习。
