The first experience of using humeral neck parietal osteotomy in treatment of the shoulder habitual dislocation

Abstract

The authors developed a technique for treating habitual dislocation of the shoulder in sportsmen and patients whose profession involves heavy physical work. It combines multiple closed osteoperforation of the humerus along the path of the intertubercular sulcus and the frontal edge of scapular glenoid cavity with parietal osteotomy of the medial semi-circumference of the surgical neck of the humerus. Posttraumatic hematoma transformation into fibrous tissue strengthens the damaged shoulder capsule (scar barrier), and stabilizes the joint. 15 patients with anterior posttraumatic habitual dislocation of the shoulder underwent the treatment with the technique. The patients’ age ranged from 19 to 43 years. There were 14 (93.3%) males and 1 (6,7%) female. Stability was restored in all the patients with preservation of full range of movements and cosmetics in the shoulder. There were no cases of shoulder dislocation recurrences.