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[Congenital elevation of the scapula]
A Mohammed Dendane1, Abdelouahed Amrani, Tarek El Medhi
1Service de Traumatologie-Orthopédie Pédiatrique, Hôpital d'Enfants, Rabot, Maroc.
La Tunisie Medicale
|April 13, 2005
Summary
Sprengel deformity surgery using the Woodward procedure showed moderate functional and cosmetic improvements. Early surgical intervention before age four is recommended for optimal outcomes in pediatric patients.
Area of Science:
- Pediatric Orthopedics
- Surgical Procedures
- Congenital Abnormalities
Background:
- Sprengel deformity is a rare congenital condition affecting shoulder blade elevation.
- Treatment options for Sprengel deformity vary, with surgical intervention often considered for significant cases.
Purpose of the Study:
- To evaluate the outcomes of surgical treatment for Sprengel deformity.
- To assess the efficacy of the Woodward procedure in improving shoulder function and aesthetics.
Main Methods:
- Retrospective review of 21 Sprengel deformity cases treated over 20 years.
- Surgical treatment using the Woodward procedure was performed on 6 patients.
- Follow-up duration ranged from 8 months to 10 years.
Main Results:
- The Woodward procedure resulted in an average increase of 40 degrees in shoulder abduction.
- Functional and cosmetic outcomes were rated as good in 3 patients, moderate in 2, and fair in 1.
- Patients operated on before age four were identified as ideal candidates.
Conclusions:
- The Woodward procedure can yield satisfactory functional and cosmetic results for Sprengel deformity.
- Early surgical intervention, ideally before the age of four, is crucial for optimal outcomes in Sprengel deformity treatment.