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ORIGINAL ARTICLE
Year : 2000  |  Volume : 34  |  Issue : 4  |  Page : 259-261

L'Episcopo Procedure In Erb's Palsy - A Retrospective Study In Twenty-Nine Children


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Due to the improved techniques of obstetrical practice and the expanding indications of cesarean section, the incidence of birth injury to Brachial plexus has become very low. Still, few patients present with residual deformity secondary to muscle imbalance despite varying degrees of recovery. Patients with internal rotation contracture and loss of abduction in the shoulder are benefited from tendon transfers as advised by L’Episcopo. From the year 1987 to 1998, 29 children with birth palsy with internal rotation contracture and adduction contracture of shoulder were treated by L’Episcopo procedure. Twenty-two patients were followed up and the results discussed. Patients with only upper arm type of birth palsy showed good functional results compared to fair functional results in patients with whole arm type of injury. But both groups showed excellent cosmetic improvement.


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