Sever-L’Episcopo Tendon Transfer in Obstetric Brachial Plexus Palsy

ABSTRACT: 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  unction 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.