Treatment of recurrent posterior dislocation of the shoulder in cerebral palsy by injection with botulinum toxin A into the M. subscapularis.
METHODS
A 20-year-old woman, known to have cerebral palsy and a spastic hemiparesis, suffered from frequent (up to 20 times a day) and painful posterior dislocation of the affected shoulder.


METHODS
For the last two years we have treated her with injections with botulinum toxin A (100 U Botox) in the M. subscapularis.


RESULTS
Pain and dislocation rate have improved substantially.
de Boer
K S
KS
Department of Physical Medicine and Rehabilitation, Leiden University Medical Centre, Leiden, The Netherlands. K.S.de_Boer@LUMC.nl
Rozing
P M
PM
Arendzen
J H
JH
D000203:Activities of Daily Living; D000328:Adult; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use*; D002547:Cerebral Palsy / Q000150:complications*; D005260:Female; D006801:Humans; D010291:Paresis / Q000150:complications*; D011859:Radiography; D012008:Recurrence; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging / Q000188:drug therapy*; D016896:Treatment Outcome
D019274:Botulinum Toxins, Type A