Fig. (1) Shows a 12 years old boy with severe right shoulder internal rotation deformity. A: Severe internal rotation deformity with the patient having to put his elbow above the shoulder level in order for the hand to reach the mouth. B: 6 weeks postoperative AP and LAT radiographs of ERO fixed with plates and screws. C: 6 months follow up; notice the improvement of the upper extremity position when the child puts his hand over the mouth.