Modified Boytchev procedure for the treatment of recurrent anterior dislocation of the shoulder

Abstract

From January 1990 to December 1998, 48 patients with 50 recurrent anterior dislocations of the shoulder were treated using a modified Boytchev procedure. The age of the patients varied from 18 to 35 years (average 24.7 years). The follow-up period was in average 88 (26-132) months. Six patients were lost in follow-up. Forty-two shoulders showed excellent results. There was one traction injury of the musculocutaneous nerve and one patient with immediate recurrence of the dislocation. Superficial wound infection occurred in five cases, all of which were controlled by antibiotics.Résumé De janvier 1990 à décembre 1998 48 patients avec 50 luxations antérieurs récidivantes d'épaule ont été traités en utilisant la procédure de Boytchev modifiée. L'âge de patients a varié de 18 à 35 ans (moyenne 24.7 ans). Le suivi était en moyenne de 88 (26 à 132) mois. Six patients ont été perdus de vue. Quarante-deux épau-les ont montré des résultants excellents. Il y avait une blessure par traction du nerf musculocutaneous et une luxation récidivante précoce.Une infection superficielle s'est produite 5 fois, toujours contrôlée par les antibiotiques.

Open Shoulder Repair of Osseous Glenoid Defects

“…The authors performed anterior translational testing after a rerouting of the osteotomized coracoid process under the subscapularis muscle and consecutive bony reattachment to its anatomic location (Boytchev procedure). 7 The position of the rerouted coracoid significantly differs from the transferred coracoid segment position at the anterolateral scapular neck in the Latarjet technique. Nevertheless, the short head of the biceps seems to have a relevant stabilizing function on the humeral head, if its course to the humerus has been surgically approximated to the anterior aspect of the glenohumeral joint.…”

Modified Boytchev Procedure for Recurrent Anterior Dislocation of Shoulder

“…However, this procedure may be contraindicated in epileptic patients and those with weak subscapularis or large glenoid defect. 11,12 The outcome of modified Boytchev procedure is controversial. It results in fair or poor outcome in 41% of patients, recurrent dislocation in 18%, and loss of movement in 20%.…”

Recurrent Shoulder Dislocations Secondary to Coracoid Process Fracture: A Case Report

“…Moreover, it avoided the disadvantage of the original Boytchev procedure, wherein the coracoid is routed behind the subscapularis, thus lifting it away from the glenohumeral joint and increasing the risk of recurrent dislocation. 24,25 As the coracoid fragment with its attached conjoint tendon was passed through the lower third of the subscapularis, which was kept inferior to the equator of the humeral head in overhead abduction. 18,19 The pressure between the humeral head and the subscapularis tendon was increased.…”