L'Episcopo's 1934 case series describes a novel tendon transfer for residual shoulder internal rotation deformity in obstetrical brachial plexus palsy. The question addressed: can reversing the teres major's insertion restore active muscle balance and prevent deformity recurrence, rather than simply releasing contractures as prior operations did?
Understanding these historical surgical principles provides foundation knowledge for modern tendon transfer concepts in brachial plexus reconstruction, though current techniques and outcomes have evolved significantly.
L'Episcopo's 1934 case series describes a novel tendon transfer for residual shoulder internal rotation deformity in obstetrical brachial plexus palsy. The question addressed: can reversing the teres major's insertion restore active muscle balance and prevent deformity recurrence, rather than simply releasing contractures as prior operations did?
Understanding these historical surgical principles provides foundation knowledge for modern tendon transfer concepts in brachial plexus reconstruction, though current techniques and outcomes have evolved significantly.