Case H – Late Birth Palsy Treated By Muscle Transfer And Osteotomy

1. Late Obstetric palsy with Trumpet sign and abnormal movements at shoulder and elbow

2. Shortening of arm with internal rotation deformoty

3. Muscle transfers and derotation osteotomy humerus

4. Improved shoulder function

5. Improvement in external rotation

6. Improvement in elbow with disappearance of Trumpet sign