Review Question - QID 2255

A 5-year boy with a history of a challenging birth due to macrosomia presents to your clinic for evaluation of his right shoulder. He holds his right arm in adduction with his hand close to his stomach. He is able to actively obtain 5 degrees of shoulder external rotation. His deltoid strength is 4/5, and he has normal hand function. Which of the following is a contraindication to performing the Hoffer procedure (transfer of the Latissimus dorsi and teres major to the posterior rotator cuff) in this patient?