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Scapular osteotomy for Sprengel's shoulder

J A Wilkinson, D Campbell

    The Journal of Bone and Joint Surgery. British Volume
    |November 1, 1980
    PubMed
    Summary
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    Congenital elevation of the scapula in children is often caused by fibrous bands. Surgical treatment involving osteotomy and division of these bands offers a safe and effective solution.

    Area of Science:

    • Orthopedic surgery
    • Pediatric orthopedics
    • Skeletal deformities

    Background:

    • Congenital elevation of the scapula is a rare condition affecting shoulder girdle development.
    • It can lead to limited arm mobility and cosmetic concerns.
    • Fibrous bands are frequently implicated in restricting scapular movement.

    Purpose of the Study:

    • To describe the clinical features of congenital elevation of the scapula in a pediatric cohort.
    • To evaluate the efficacy and safety of surgical intervention for this condition.

    Main Methods:

    • Retrospective analysis of 16 children diagnosed with congenital elevation of the scapula.
    • Surgical technique involved vertical displacement osteotomy of the medial scapular border.
    • Division of identified fibrous tethers was performed concurrently.

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    Main Results:

    • Fibrous bands restricting scapular movement were identified in most patients.
    • Surgical treatment was performed on 12 children over a 10-year period.
    • The described surgical approach demonstrated reliable and safe outcomes.

    Conclusions:

    • Congenital elevation of the scapula is primarily associated with restrictive fibrous bands.
    • Vertical displacement osteotomy combined with division of fibrous attachments is an effective treatment.
    • This surgical method provides a reliable and safe option for managing pediatric congenital scapular elevation.