The Bristow procedure, in which the distal portion of the coracoid process is sutured to the anterior aspect of the scapular neck through a transversely sectioned subscapularis muscle, was described in 19583 for anterior instability of the shoulder. Mead5 modified that procedure by affixing the bone block to the anterior glenoid rim with a screw. In recent years, this modified Bristow procedure has gained in popularity. Since 1971, over 500 procedures have been performed in our office for recurrent anterior shoulder subluxation/dislocation. The procedure has proved to be effective with an approximate recurrence rate of 2 to 3 percent.1,2,4 It has not, however, permitted athletes who are engaged in sports that feature throwing as an activity to return to their preinjury functional level. Other procedures used in this select group of athletes have likewise been unrewarding to date.
KeywordsHumeral Head Drill Hole Bone Block Shoulder Instability Coracoid Process
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