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

Abstract

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.