Recurrent anterior shoulder dislocation with glenoid fracture managed by modified Boytchev procedure: a rare case report

Authors

  • Ashish Devgan Department of Orthopaedics, PGIMS, Rohtak, Haryana, India
  • Umesh Yadav Department of Orthopaedics, PGIMS, Rohtak, Haryana, India
  • Rajesh Rohilla Department of Orthopaedics, PGIMS, Rohtak, Haryana, India
  • Pankaj Sharma Department of Orthopaedics, PGIMS, Rohtak, Haryana, India
  • Varun Goel Department of Orthopaedics, PGIMS, Rohtak, Haryana, India
  • Parvesh Mudgil Department of Orthopaedics, PGIMS, Rohtak, Haryana, India
  • Sujit Kumar Singh Department of Orthopaedics, PGIMS, Rohtak, Haryana, India
  • Aman Verma Department of Orthopaedics, PGIMS, Rohtak, Haryana, India
  • Karunesh Ranjan Department of Orthopaedics, PGIMS, Rohtak, Haryana, India
  • Vasudha Dhupper Department of Orthopaedics, PGIMS, Rohtak, Haryana, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20193092

Keywords:

Recurrent shoulder dislocation, Boytchev, Glenoid fracture

Abstract

Surgical procedures for recurrent anterior dislocation of the shoulder include using capsuloligamentous or bone blocks to create barriers and active interventions using muscle actions. Fracture of glenoid acts as a barrier for bone block procedures. Boytchev procedure, though outmoded, yet acts as simple and effective procedure in this condition. Here we report a 44 year old male with recurrent anterior dislocation with glenoid fracture treated by Boytchev procedure. The patient is on regular follow up since 3 years with no episode of shoulder dislocation till now with full range of movements. To conclude, Boytchev procedure is technically simple and effective method in patients with recurrent anterior shoulder dislocation with fracture of glenoid.

Author Biography

Ashish Devgan, Department of Orthopaedics, PGIMS, Rohtak, Haryana, India

ASSISTANT PROFESSOR, DEPARTMENT OF ORTHOPAEDICS, PGIMS, ROHTAK

References

aha AK. Recurrent anterior dislocation of shoulder- A New Concept. Calcutta: Academic publisher; 1969.

Boytchev B. Treatment of recurrent shoulder instability. Minerva Orthopedica. 1951;2:377-9.

Conforty B. The results of the Boytchev procedure for treatment of recurrent dislocation of the shoulder. Int Orthop. 1980;4:127-32.

Bankart ASB. Recurrent or habitual dislocation of the shoulder-joint. Br Med J. 1923;2:1132.

Matthes G, Horvath V, Seifert J, Ptok H, Stengel D, Schmucker U, et al. Bristow Latarjet procedure for anterior shoulder instability. J Orthop Surg (Hong Kong). 2007;15:4-8.

Ha’Eri GB. Boytchev procedure for the treatment of shoulder instability. Clin Orthop Relat Res. 1986;206:196-201.

Chatterjee ND, Nath C, Pal AK, Baksi DP. Modified Boytchev procedure for the treatment of recurrent anterior dislocation of the shoulder. Int Orthop. 2002;26:7-9.

Shibata Y, Honjo N, Shinoda T, Kumano T, Naito M. Pressure between the humeral head and the subscapularis tendon after the modified Boytchev procedure. J Shoulder Elbow Surg. 2004;13:170-3.

Halder AM, Halder CG, Zhao KD, O’Driscoll SW, Morrey BF, An KN. Dynamic inferior stabilizers of theshoulder joint. Clin Biomech (Bristol, Avon). 2001;16:138-43.

Jiang LS, Cui YM, Zhou ZD, Dai LY. Stabilizing effect of the transferred conjoined tendon on shoulder stability. Knee Surg Sports Traumatol Arthrosc. 2007;15:800-5.

Dalsgaard HL, Gøthgen CB, Hoogmartens MJ. The Boytchev procedure for recurrent anterior dislocation of the shoulder. A controversial technique. Acta Orthop Belg. 2000;66:248-50.

Reddy GV, Prasad JS. Ha’eri-Chari’s operative procedure for treatment of recurrent dislocation of shoulder. Indian J Orthop. 1997;31:53–7.

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Published

2019-08-26

Issue

Vol. 5 No. 5 (2019): September-October 2019

Section

Case Reports