In 1925, Sever [4] described osteotomy of the coracoid and tenotomy of the pectoralis major tendon in addition to ... In 1934, L'Episcopo [14] reported a transfer of the teres major and latissimus ...

In patients without shoulder subluxation, a modified Sever-L'Episcopo transfer can be used to effect ... a concentrically reduced shoulder before tendon transfers in older children, teenagers ...