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Treatment of recurrent posterior dislocation of the shoulder in cerebral palsy by injection with botulinum toxin A into the M. subscapularis

Department of Physical Medicine and Rehabilitation, Leiden University Medical Centre, The Netherlands

P M Rozing

Department of Orthopaedic Surgery, Leiden University Medical Centre, The Netherlands

J H Arendzen

Department of Physical Medicine and Rehabilitation, Leiden University Medical Centre, Leiden, The Netherlands

Subjects: A 20-year-old woman, known to have cerebral palsy and a spastic hemiparesis, suffered from frequent (up to 20 times a day) and painful posterior dislocation of the affected shoulder.

Interventions: For the last two years we have treated her with injections with botulinum toxin A (100 U Botox®) in the M. subscapularis.

Results: Pain and dislocation rate have improved substantially.

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				K S de Boer, H J Arwert, J H de Groot, C G M Meskers, A D R. Mishre, and J H Arendzen Shoulder pain and external rotation in spastic hemiplegia do not improve by injection of botulinum toxin A into the subscapular muscle J. Neurol. Neurosurg. Psychiatry, May 1, 2008; 79(5): 581 - 583. [Abstract] [Full Text] [PDF]