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Putti Sign

The Putti Sign is observed when the medial edge of the scapula protrudes above the shoulder joint with shoulder adduction and forced external rotation.. It is often seen in the setting of obstetric brachial plexus palsy.

It is due to compensatory scapulothoracic motion to adduct the arm, resulting in elevation of the superomedial border of the scapula into the trapezius, above the shoulder.

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