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The Journal of Bone and Joint Surgery 78:1578-82 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Acute Ischemia of the Upper Limb Fifteen Years after Anterior Dislocation of the Glenohumeral Joint and a Modified Bristow Procedure. A Case Report*

TERESA CAPPELLO, M.D.{dagger}, GORDON W. NUBER, M.D.{dagger}, KEVIN D. NOLAN, M.D.{dagger} and WALTER J. MCCARTHY, M.D.{dagger}, CHICAGO, ILLINOIS

Investigation performed at the Department of Orthopaedic Surgery and the Division of Vascular Surgery, Department of Surgery, Northwestern University Medical School, Chicago


    Introduction
 
In 1958, Helfet described a stabilization procedure for recurrent anterior dislocations of the shoulder. He named it after his mentor, Bristow, who had taught it to him almost twenty years earlier. The procedure consisted of detaching the tip of the coracoid process from the scapula just distal to the insertion of the pectoralis minor muscle. This piece of coracoid, with the tendons of the short head of the biceps and coracobrachialis attached, was then passed through the subscapularis muscle and placed in contact with a roughened surface of the scapula. It was held in place by suturing the biceps and coracobrachialis tendons to the subscapularis tendon. In 1964, Mead and Sweeney described a modification of the procedure whereby the coracoid is secured to the anterior part of the glenoid rim with a screw. Since then, many modifications have been made concerning the splitting of the subscapularis muscle or tendon; however, . . . [Full Text of this Article]


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