Published in:
01-01-2019 | Original Article • SHOULDER - PAEDIATRICS
Sprengel’s deformity of the shoulder joint treated by Woodward operation
Authors:
Mohamed Mansour Elzohairy, Adel Mohamed Salama
Published in:
European Journal of Orthopaedic Surgery & Traumatology
|
Issue 1/2019
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Abstract
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.