Abstract
We experienced a 57-year-old female with chronic severe inferior glenohumeral instability after two-part fracture-dislocation of her left shoulder. She had a dull pain over her left upper extremity, weakness, and contracture of shoulder resistant to conservative therapy. The first treatment with open inferior capsular shift to repair static stabilizer failed and resulted in recurrent inferior glenohumeral subluxation. In order to obtain the inclination of glenoid and high tension of rotator cuff as a dynamic stabilizer, corrective glenoid osteotomy and iliac bone grafting were attempted. Functional results two years after surgery were satisfactory. Radiographs showed no evidence of re-dislocation or degenerative change. Our case suggests that glenoid osteotomy is effective for patients with severe inferior glenohumeral instability of the shoulder.
