Coracoid tendon transposition a.m. Bristow-Latarjet

Twenty-three shoulders on which a Bristow-Latarjet operation had been performed on account of anterior glenohumeral instability were followed up for an average of 24 months (range 15-36). The series consisted of 12 recurrent dislocations, 5 chronic subluxations + 3 with occasional dislocations, and 3 anterior + inferior (multidirectional) subluxations. Four shoulders were classified as poor at follow-up. The reason for failure was excessively proximal attachment of the coracoid transplant in one case, while an objective diagnosis of multidirectional instability by reference to the autotraction test and stress roentgenograms was reached in the other three.