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.
Department of Orthopedic Surgery, Shriners Hospital for Children, Tampa, FL 33612-9499, USA.
P S
PS
Vasiu
A V
AV
Hess
D P
DP
Grogan
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*