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

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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.


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


Pain and dislocation rate have improved substantially.

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