Relocation of congenitally elevated scapula

Area of Science:

• Orthopedic Surgery
• Pediatric Orthopedics
• Skeletal Dysplasias

Background:

• Sprengel's deformity involves the congenital elevation of the scapula.
• Previous surgical treatments for Sprengel's deformity have limitations.
• A novel surgical approach is needed for effective scapular repositioning.

Purpose of the Study:

• To evaluate a new surgical technique for treating Sprengel's deformity.
• To assess the efficacy and safety of this method in achieving normal scapular levels.

Main Methods:

• A surgical technique involving extraperiosteal greenstick clavicle fracture and scapular release.
• Temporary fixation of the scapula to the eighth rib using resorbable sutures.
• Coracoclavicular ligament release, superior scapular pole excision, and medial angle fixation to the fourth spinous process.

Main Results:

• The technique was performed on 28 patients (aged 4-19) with no neurovascular complications.
• Normal scapular position achieved in 67% of cases.
• Minor residual elevation (1-2 cm) in 29% and 5 cm in 4% of patients.

Conclusions:

• This surgical method offers an easy and safe approach for Sprengel's deformity.
• It effectively relocates the scapula to a more normal position.
• The procedure is suitable for patients up to puberty.