دررفتگي مكرر شانه (نتايج درمان با عمل "بريستو")

Recurrent Anterior Shoulder Dislocation

Background: There have been many operations for treatment of recurrent anterior shoulder dislocation. The Bristow procedure with its dynamic and static effect can prevent shoulder dislocation. The aim of this study was to evaluate the long term results of this procedure in our center. Methods: 19 patients with mean age of 25 years had undergone Bristow procedure for anterior shoulder instability. A retrospective clinical evaluation was not performed with an average follow-up of 7.5 years (3-14 years). Pain, recurrence of instability, range of motion and ability to return to sporting activities were the parameters evaluated by constant shoulder score (CSS). Results: No dislocations but 3 cases of instability feeling were observed. The two athletes (one volleyball player and one wrestler) were unable to return to their sports. Fifteen patients (78.9%) gad excellent or good CSS scores. Conclusions: Bristow is a good procedure for controlling recurrent shoulder dislocation, but because it produces limitation in external rotation of shoulder, is not recommended as the first choice for athletic population. The radiographs of the shoulders at follow-up revealed early osteoarthritis in 3 cases. These were the same cases that had limited external rotation