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Related Experiment Videos

Congenital high scapula.

Abdeslam Khairouni1, Henri Bensahel, Zsolt Csukonyi

  • 1Hĵpital Robert Debre, Paris, France.

Journal of Pediatric Orthopedics. Part B
|February 28, 2002
PubMed
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Sprengel

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Skeletal Dysplasias

Background:

  • Congenital high scapula, or Sprengel's deformity, involves scapular elevation and malrotation.
  • This condition can lead to significant cosmetic and functional deficits in shoulder function.

Purpose of the Study:

  • To evaluate the efficacy of a modified Woodward procedure for treating congenital high scapula.
  • To assess the impact of surgical correction on cosmetic and functional outcomes.

Main Methods:

  • A modified Woodward procedure was performed on 19 patients with congenital high scapula.
  • The modification involved correcting the glenoid tilting in addition to the standard Woodward technique.
  • Outcomes were assessed based on cosmetic appearance and shoulder function, including abduction.

Related Experiment Videos

Main Results:

  • The modified Woodward procedure resulted in significant cosmetic and functional improvements in 79% of cases.
  • Patient age and the presence of an omovertebral bone did not affect surgical outcomes.
  • Associated cervical spine anomalies were associated with a negative prognosis.

Conclusions:

  • The modified Woodward procedure is an effective surgical option for congenital high scapula.
  • The technique offers significant improvements in shoulder function and appearance.
  • Careful patient selection is important, as cervical spine anomalies may impact outcomes.