Describe a new procedure that combines Oberlin
procedure with concomitant shoulder realise in Upper
Obstetric Brachial Plexus Palsy. Methods: We present 18
children with upper obstetric brachial plexus palsy treated
by transferring two motor fascicles out of the ulnar nerve to
the biceps nerve in concomitant with anterior shoulder
release. Eight were males, and 10 were females. The leftside brachial plexus was affected in 11 patients and the right
side in 7 patients. Sixteen children had vaginal delivery and
2 children were delivered by cesarean section. The average
birth weight was 3800 g (range, 3430-6000 g). Average age
at the time of operation was 18 months (range, 12-26
months). The indication for the operation was absent active
elbow flexion and no shoulder abduction with internal rotation contracture deformity. Oberlin’s ulnar nerve transfer
was done in all cases in concomitant with anterior shoulder
release without brachial plexus exploration. Results: The
average follow-up was 18 months (range, 12-58 months).
Nine children had biceps muscle M5, 6 of them had biceps
muscle M4, and 3 children had gained full shoulder abduction and 6 of them gained less
than 120° shoulder abduction. Conclusion: We recommend
Oberlin’s ulnar nerve transfer in concomitant with anterior
shoulder release for upper-type obstetric brachial plexus