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April 1948


Author Affiliations

From the Department of Surgery, Orthopedic Section, Veterans Administration Hospital, Hines, Ill., and the Department of Surgery, University of Illinois College of Medicine.

Arch Surg. 1948;56(4):522-527. doi:10.1001/archsurg.1948.01240010530007

RECURRING dislocations of the shoulder joint have been recognized for centuries, Hippocrates being credited with the first description. Over the course of time treatment has been varied. The first recorded treatment consisted of plunging a hot iron into the axilla. There was little rationale in methods used until about 1882, when Cromer1 advocated resection of the head of the humerus. In 1888 Albert2 advised fusion of the shoulder. By 1903 recommendations had become much less radical. They fall into four groups or combinations thereof. From about 1903 attention was focused on the capsule, the treatment consisting chiefly of plication operations. By 1909 the style shifted to muscle slings. Ehrlich and Clairmont advocated taking a segment of the posterior deltoid, freeing it from its insertion into the humerus, stripping it free up to its origin and then slipping it through under the head of the humerus extracapsularly and attaching

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