<t>It make me remember how I felt when my son was tiny. He's four now and he's been able to do pretty much everything =- he just finds his own way. He's about to have surgery - but if I'd known what I know now, I would have had the surgery when he was two or younger. The earlier you do it, the less ...

Try checking out Dr. Pearl in Los Angeles. He's had success treating older children for loss of external rotation.

Anyone had a tendon transfer plus ACR both at the same time with Kozin, Pearl or Waters? We're going to have it with our four year old son but I'd like to know the actual outcome anyone's experienced - especially in terms of how much higher they could lift their arm afterwards

Krista do you have a view on whether ACR plus tendon transfer increases abduction or leaves it the same?

<t>Kate - do you have a view on whether abduction is increased by ACR/tendon transfer combination. <br/> Some surgeons ( Pearl) believe that there is very little increase - just the appearance of an increase because of increased external rotation.<br/> <br/> Others ( Kozin) beleive there is a real i...

<t>Thanks Claudia. I e-mailed Dr. Kozin and he was very helpful. What did you conclude from your consult with Dr. Pearl? What kind of surgery are you looking at? Would love to compare notes. It seems the whole field is progressing so rapidly that even the surgeons at the top of it all have slightly ...