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Letters to the Editor   |    
M.L. Pearl, B.W. Edgerton, P.A. Kazimiroff, and K. Wong reply:
Michael L. Pearl, MD; Bradford W. Edgerton, MD; Paul A. Kazimiroff, MD; Karyn Wong, DPT
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These letters originally appeared, in slightly different form, on jbjs.org. They are still available on the web site in conjunction with the article to which they refer.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Feb 01;89(2):452-453
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Extract

We thank Dr. Price and colleagues for their interest and the opportunity to further clarify our approach to the internal rotation contractures that develop in so many of these children. It was our frustration with methods similar to the ones that they describe that led us to explore and develop the arthroscopic approach. Approximately 70% of children who present with internal rotation contractures will have glenohumeral deformity2,3. The children with centered glenohumeral joints to whom the correspondents allude represent a minority. For the majority of patients with advanced contractures and deformity, there is increasing evidence that the described surgical method does not consistently relocate the glenohumeral joint and may impede optimal skeletal development.
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