The rare sprengel deformity: our experience with three cases

Area of Science:

• Orthopedics
• Pediatric Radiology
• Medical Imaging

Background:

• Sprengel shoulder is a rare congenital deformity affecting one or both scapulae, characterized by the failure of the scapula to descend during fetal development.
• While often sporadic, familial cases of Sprengel shoulder have been documented, and it is frequently associated with Klippel-Feil syndrome and other skeletal anomalies.

Observation:

• This case series presents imaging experiences from three pediatric patients diagnosed with Sprengel shoulder.
• The study highlights the diagnostic utility of conventional radiography and advanced imaging modalities such as computed tomography (CT) and magnetic resonance (MR) scans.

Findings:

• Anteroposterior X-ray imaging is effective for diagnosing Sprengel deformity.
• CT and MR scans with 3D reconstruction are crucial for identifying concomitant abnormalities, detailed anatomical assessment, and surgical planning.

Implications:

• Understanding the imaging characteristics of Sprengel shoulder is vital for accurate diagnosis and management in pediatric cases.
• This discussion aims to enhance awareness and inform clinical practice regarding this common congenital scapular defect.