Introduction: A medial rotation position and then contracture of the glenohumeral joint is frequent in children suffering severe THE JOURNAL OF HAND SURGERY VOL. 28B SUPPLEMENT 1 Conclusion: The medial rotation contracture of the shoulder in these children is a complex progressive deformity, which requires a selective and stepwise approach. So far, we have preferred early correction by dynamic soft tissue and tendon transfer operations; but we accept that osteotomies with their reliable results should
still be part of the strategy.