Patient-Reported Outcomes in Children Undergoing the Modified Green Procedure for Treating Sprengel's Deformity:...

Area of Science:

• Orthopaedic Surgery
• Paediatric Orthopaedics
• Congenital Anomalies

Background:

• Sprengel's Deformity (SD) is a rare congenital shoulder girdle anomaly in children.
• This study evaluates the modified Green Procedure for SD management.
• Focus is on clinical and functional patient-reported outcomes.

Purpose of the Study:

• To assess the effectiveness of the modified Green Procedure in managing pediatric Sprengel's Deformity.
• To document combined surgical experience from two major pediatric orthopaedic centers.
• To emphasize patient-reported clinical and functional outcomes.

Main Methods:

• Retrospective review of 42 shoulders in 40 pediatric patients (June 2010-Feb 2023).
• Surgical treatment using the modified Green Procedure, with or without clavicle osteotomy.
• Assessment using Cavendish's and Rigault's classifications, shoulder mobility (abduction/flexion), and patient-reported outcome measures (QuickDASH, SPADI, UCLA Scale).

Main Results:

• Mean follow-up of 5 years.
• Clavicular osteotomy improved abduction by 25° (p=0.001).
• Low complication rate (7.1%); 67.5% achieved excellent functional outcomes (qDASH < 7); 70.0% reported high satisfaction.

Conclusions:

• The modified Green's technique is a safe and effective surgical option for pediatric Sprengel's Deformity.
• The procedure yields satisfactory clinical and functional outcomes with a low complication rate.
• Patient-reported outcomes and satisfaction are high, irrespective of surgical technique variations.