Sever-L’Episcopo and Green procedure. A, Anterior incision. B, Exposure of insertion of pectoralis major at humeral attachment. C, Incisions of tendinous insertion of pectoralis major for Z-lengthening. D, Distal half of tendinous insertion of pectoralis major on shaft of humerus is divided. E, Subscapularis is divided by oblique cut. F, Incision over deltoid-triceps interval (back view). G, Teres major and latissimus dorsi tendons are attached to cleft in lateral humerus. H, Back view showing reattachment of muscles. I and J, Front views showing reattachment of muscles. SEE TECHNIQUE 34.52.