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Published in: European Journal of Orthopaedic Surgery & Traumatology 1/2019

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.

Level of evidence

IV.
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Metadata
Title
Sprengel’s deformity of the shoulder joint treated by Woodward operation
Authors
Mohamed Mansour Elzohairy
Adel Mohamed Salama
Publication date
01-01-2019
Publisher
Springer Paris
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 1/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-018-2291-y

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