Results of Sever- L’ Episcopo procedure for obstetric brachial plexus palsy

Karthi Sundar V., Anil Kumar S.V.


Background: The reported incidence of obstetric brachial plexus palsy (OBPP) varies from 0.3 to 2.5 per 1000 live birthsresulting in internal rotation deformity and weak abduction of the involved side shoulder.

Methods: To retrospectively analyse the functional results of the Sever- L‘ Episcopo procedure for OBPP with a minimum follow-up of 2 years to a maximum of 13 years using modified Mallet scoring system for shoulder.

Results: A significant improvement in the range of abduction and the restoration of external rotation of shoulder was achieved with Sever- L’Episcopo procedure.

Conclusions: The results of secondary reconstruction of a dysfunctional shoulder by means of a Lattismus dorsi & Teres major transfer as described by Sever- L’Episcopo is definitely beneficial. However this procedure will improve, but will not normalize, function. Apart from functional improvement this procedure corrects a deformity thereby easing the psycho-social stigma associated with it.


Sever- L’Episcopo procedure, Obstetric brachial plexus palsy

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