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Updated: Jun 22, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Arthroscopic Subscapularis Release and External Rotation Tendon Transfer for Brachial Plexus Birth Palsy: Surgical
Rey Ramirez1, Maxwell Modrak1, Neil Pathak1
1Orthopaedics and Rehabilitation, Yale University, New Haven, CT.
None:
Patients with brachial plexus birth injuries commonly develop problems at the shoulder. These problems include posterior subluxation of the shoulder, internal rotation contractures, and weakness of external rotation. The most common technique for the treatment of these is the release of the shoulder joint, the release of the internal rotators, and the transfer of latissimus teres and teres major tendons. In this article, we present a detailed technique with an accompanying step-by-step video to demonstrate how to perform these procedures.
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