Recurrent Posterior Dislocation of the Shoulder

Abstract

The preliminary results of an operative procedure for recurrent posterior dislocation of the shoulder are reported. A posterior capsulorrhaphy is combined with a tendon transfer of the long head of the biceps which is routed around the posterior aspect of the neck of the humerus and reinserted on the posterior rim of the glenoid. The tendon is also sutured to the posterior capsule and glenoid. The procedure has been used on nine shoulders in eight patients. There have been no recurrences to date and all patients have been able to return to their usual activities including athletics. The operative technique is described and the preliminary results are discussed.