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.

Historically, initial treatment for the problem centered on the adduction contracture. Release of the subscapularis and capsule was recommended by Fairbank [2] in 1913. In 1925, Sever [4 ...