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[Sprengel's deformity].

M Matĕjícek1, P Dungl, M Slavík

  • 1Ortopedická klinika ILF, Fakultní nemocnice na Bulovce, Praha.

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|February 1, 1990
PubMed
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Sprengel deformity treatment requires an individualized approach, balancing surgery and rehabilitation. Surgical intervention, like the Green procedure, is recommended for severe cases, with early diagnosis and operation (before age 4) improving outcomes.

Area of Science:

  • Orthopedics
  • Pediatric Surgery
  • Anatomy

Background:

  • Sprengel deformity, or congenital high-riding scapula, presents challenges in etiology, pathology, and clinical management.
  • Determining optimal treatment strategies, balancing conservative versus surgical interventions, is crucial for functional recovery.

Purpose of the Study:

  • To advocate for a personalized treatment approach to Sprengel deformity based on individual patient assessment.
  • To evaluate the efficacy of surgical treatment, specifically the Green procedure, for severe Sprengel deformity.

Main Methods:

  • Comprehensive evaluation of scapular position and shoulder-girdle range of motion.
  • Surgical intervention using the Green procedure with clavicular osteotomy and os omovertebrale resection for severe cases.

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  • Postoperative rehabilitation and long-term outcome assessment in a cohort of pediatric patients.

    • Main Results:

    • Satisfactory outcomes were achieved in all treated Grade III Sprengel deformities.
    • Grade IV deformities proved challenging, with only partial success in one case despite surgical intervention.
    • Early surgical intervention (by age 4) and careful patient selection are critical for favorable results.

    Conclusions:

    • An individualized treatment plan, considering diagnostic findings and patient cooperation, is paramount for Sprengel deformity.
    • The Green procedure offers positive outcomes for severe Sprengel deformity, particularly when performed early.
    • Timely screening and surgical intervention are recommended, with cautious consideration for older children with Grade IV deformities.