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Updated: Jul 30, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Sprengel's deformity of the shoulder joint treated by Woodward operation
Mohamed Mansour Elzohairy1, Adel Mohamed Salama2
1Orthopaedic Surgery Department, Faculty of Medicine, Zagazig University, Zagazig City, Ash Sharqia Governorate, 44519, Egypt. elzohairy.me@gmail.com.
Background:
Sprengel's shoulder deformity is a rare condition that happens because of the abnormal termination of the caudal migration of the scapula during the embryonic period.
Methods:
This retrospective clinical study included 10 consecutive children who underwent a Woodward operation to correct the Sprengel's shoulder deformity.
Results:
The average preoperative Cavendish grade for cosmetic evaluation was 3.5 (range 3-4), which decreased to 1.4 (range 1-2) at the final review (statistically significant, p > 0.002, Wilcoxon signed-rank test). Cavendish grade improvement and increase in abduction had a strong positive association (r = 0.681, Spearman correlation coefficient.
Conclusion:
The results showed that both functional and cosmetic outcome had a positive correlation with Woodward procedure. More cosmetic and functional improvement was seen at the last follow-up visit especially in cases where the operation was done in the younger years.
Level Of Evidence:
IV.

