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August 15, 1953

Recurrent Dislocation of Shoulder

JAMA. 1953;152(16):1577. doi:10.1001/jama.1953.03690160077033

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The number and variety of techniques that have been proposed during the past two decades in treatment of recurrent dislocation of the shoulder indicate the complexity of the problem and the controversial nature of various approaches to treatment. This small monograph begins with a review of the phylogenesis and ontogenesis, including a detailed study of anatomy and dynamics of the shoulder. Pathology is reviewed in detail, although the significance of the opening anteriorly of the shoulder joint into the subscapularis bursa, creating a normal anatomic weakness, apparently was not considered important by these authors. More than 50 principles or variations in operative techniques by as many different authors are listed, and the essentials of the commoner operations are described and illustrated in detail. Some confusion may result when the relatively inexperienced surgeon tries to determine, from the operations described, which of the various procedures would be most suitable for his

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