Modified Boytchev procedure for treatment of recurrent anterior dislocation of shoulder

Garg, Anant Kumar; Ayan, Saankritya; Keshari, Vikas; Kundu, Debtosh; Mukhopadhyay, Kiran Kumar; Acharyya, Biplab

doi:10.4103/0019-5413.82340

Cited by 6 publications

(3 citation statements)

References 15 publications

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“…8 The recurrence rates after the Bankart procedure, Putti-Platt procedure, Magnuson-Stack procedure, and Bristow procedure for recurrent anterior dislocation of shoulder were 6%, 20%, 7%, and 13%, respectively, with restriction of external rotation and glenohumeral arthritis in long-term follow-up. [8][9][10] The Boytchev procedure achieves comparable results, with lower recurrence rate, minimal restriction of external rotation, and no glenohumeral arthritis. However, this procedure may be contraindicated in epileptic patients and those with weak subscapularis or large glenoid defect.…”

Section: Discussionmentioning

confidence: 88%

Modified Boytchev Procedure for Recurrent Anterior Dislocation of Shoulder

Chandra

Mahajan

et al. 2014

J Orthop Surg (Hong Kong)

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PURPOSE. To evaluate results of the modified Boytchev procedure for recurrent anterior dislocation of the shoulder in 60 patients. METHODS. Medical records of 45 men and 15 women aged 20 to 44 years who underwent the modified Boytchev procedure for recurrent anterior dislocation of the right (n=44) and left (n=16) shoulders were reviewed. The mean number of dislocations was 14. Outcome was evaluated using the Burkhead and Rockwood criteria. RESULTS. The mean follow-up period was 56 months. Outcome was excellent in 32 patients, good in 21, and fair in 7. None had poor outcome. The mean external rotation deficit at 0º and 90º of abduction improved from 14º to 7º (p=0.04) and 18º to 7º (p=0.03), respectively. Two patients had fragmentation of the coracoid process, which was fixed with non-absorbable suture. Two patients had traction injury to the musculocutaneous nerve, which recovered after 6 months. One patient had recurrent dislocation that ruled out the chance of revision surgery. CONCLUSION. The modified Boytchev procedure is a viable and simple treatment for recurrent anterior shoulder dislocation.

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Section: Discussionmentioning

confidence: 88%

Modified Boytchev Procedure for Recurrent Anterior Dislocation of Shoulder

Chandra

Mahajan

et al. 2014

J Orthop Surg (Hong Kong)

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“…This can lead to MCN injury, which is a widely known complication in procedures around the anterior shoulder region; transient lesions of the MCN may also occur [ 46 ]. CB variants could also provoke subcoracoid impingement [ 47 , 48 ] and impede the modified Boytchev procedure for the treatment of anterior shoulder dislocation [ 49 ]. Potential injury to the MCN could be a significant intraoperative complication in these procedures.…”

Section: Discussionmentioning

confidence: 99%

A Bilateral Symmetric Accessory Coracobrachialis Muscle Combined With an Interconnection of the Musculocutaneous Nerve With the Median Nerve

Tsakotos¹,

Triantafyllou²,

Olewnik³

et al. 2023

Cureus

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This report describes a bilateral symmetric accessory coracobrachialis muscle variant coexisting with a unilateral interconnection of the musculocutaneous nerve and the median nerve. An 80-year-old female cadaver was dissected. The bilateral coracobrachialis muscle variant consisted of three heads: two superficial heads and one deep head. One superficial head arose from the tip of the coracoid process, while the other originated from the short head tendon of the biceps brachii. The deep head of the coracobrachialis muscle emerged from the base of the coracoid process. The musculocutaneous nerve bilaterally coursed between the superficial and deep heads. On the right side, the three-headed coracobrachialis muscle coexisted with an ipsilateral interconnection of the musculocutaneous nerve and the median nerve, located at the lower third of the arm. While the presence of a unilateral three-headed coracobrachialis muscle is not rare (with a prevalence range of 0-22.2%), as well as the distal interconnection between the musculocutaneous nerve and the median nerve at the lower third of the arm (with a prevalence range of 1.8-53.6%), the coexistence of the current bilateral three-headed coracobrachialis muscle variant with the distal interconnection of the musculocutaneous and median nerves is quite unusual. A similar report underscores the finding of the bilateral coracobrachialis muscle variant.

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“…[7][8][9] many procedures have been described for recurrent anterior shoulder dislocation. The disadvantages of these procedures are prolonged immobilization and restriction of external rotation, hence compromising the shoulder stability and functions.…”

Section: Discussionmentioning

confidence: 99%

Functional outcome of modified Boytchev procedure in recurrent shoulder dislocation

Suryakumar¹,

Ram²

2018

Int. J. Orthop. Sci.

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Objective: To evaluate functional outcome of recurrent anterior shoulder dislocation by modified Boytchev procedure. Materials and Method: This prospective study was done in 30 patients with recurrent dislocation of the shoulder, treated in the department of Orthopaedics Rajah Muthiah Medical Hospital and Sri Ramachandra Medical centre. The inclusion criteria were patients with recurrent anterior shoulder dislocation with minimum 5 to 8 episodes and age more than 18 years and less than 50 years. The exclusion criteria were fresh dislocation, dislocations with fracture of Coracoid process and patients with ligamentous laxity. The functional statuses of the patients were assessed using the Modified Rowe's Scale. Results: out of thirty patients treated by modified Boytchev procedure 93% of patients had excellent/good outcome. Two patients, who had fair outcome in our study, were due to traumatic dislocation one year following the procedure, which leads to periarthritis of the affected shoulder and restricting abduction and external rotation movements. Conclusion: Modified Boytchev procedure is cost effective and has an easy learning curve. Therefore it is the ideal management in rural area.

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Modified Boytchev procedure for treatment of recurrent anterior dislocation of shoulder

Cited by 6 publications

References 15 publications

Modified Boytchev Procedure for Recurrent Anterior Dislocation of Shoulder

Modified Boytchev Procedure for Recurrent Anterior Dislocation of Shoulder

A Bilateral Symmetric Accessory Coracobrachialis Muscle Combined With an Interconnection of the Musculocutaneous Nerve With the Median Nerve

Functional outcome of modified Boytchev procedure in recurrent shoulder dislocation

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