Sever-L'Episcopo tendon transfer in obstetric brachial plexus palsy.
Obstetric brachial plexus palsy produces functional and cosmetic impairment. The Sever-L'Episcopo procedure has been successfully used to improve external rotation, primarily in younger patients. Previous studies have shown steady improvement in motion and function for 1 year from the date of surgery, with little additional change beyond this period. This is a retrospective study of 7 patients who have had the procedure at the Shriners Hospital for Children in Tampa, Florida. Functional and cosmetic results have been uniformly excellent at an average follow-up of 1 year 3 months. No complications have occurred. In addition, the degree of improvement seen in our relatively older patient population has not been previously detailed in the literature.
Vasiu
P S
PS
Department of Orthopedic Surgery, Shriners Hospital for Children, Tampa, FL 33612-9499, USA.
Hess
A V
AV
Grogan
D P
DP
D020516:Brachial Plexus Neuropathies / Q000601:surgery*; D002648:Child; D003286:Contracture / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010246:Paralysis, Obstetric / Q000601:surgery*; D017060:Patient Satisfaction; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012189:Retrospective Studies; D012782:Shoulder / Q000601:surgery*; D000070599:Shoulder Injuries; D013709:Tendon Transfer / Q000379:methods*