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Journal of Bone and Joint Surgery, 1973;55:445-460.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Voluntary Dislocation of the Shoulder

A PRELIMINARY REPORT ON A CLINICAL, ELECTROMYOGRAPHIC, AND PSYCHIATRIC STUDY OF TWENTY-SIX PATIENTS

CARTER R. ROWE M.D.1, DONALD S. PIERCE M.D.1, and JOHN G. CLARK M.D.1

1 From the Massachusetts General Hospital, Boston

Clinical, roentgenographic, electromyographic, and psychiatric studies of twenty-six patients with voluntary dislocation of one or both shoulders revealed that dislocation was produced by suppression of one element of one of the muscle force-couples responsible for normal shoulder motion, that most patients responded well to muscle-strengthening exercises, that patients with significant psychiatric problems did poorly after all types of surgical and non-operative treatment unless their psychiatric problem had been resolved, and that if surgical treatment was undertaken, a combination of procedures was necessary rather than one of the standard operations.


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