Sprengel's Deformity: Surgical Correction by a Modified Green Procedure
نویسندگان
چکیده
OBJECTIVE To evaluate the cosmetic and functional results of patients submitted to surgical correction of Congenital High Scapula (Sprengel's Deformity) using modified Green's Procedure, as well as patients' satisfaction and complications. METHODS Nine patients submitted to surgical treatment from September 1993 to April 2008 have been assessed. The modification from original technique was: subperiosteal muscle detachment, resection of superomedial scapular portion and fixation of medial portion of scapular spine to contralateral posterior iliac crest instead of skeletal traction, with subcutaneous wire. The mean age was 7 years and 3 months. The mean follow-up time was 3 years and 7 months. RESULTS The mean improvement in forward elevation was 39o (range 0 to 80o). According to the Cavendish Classification, cosmetic improvement of two degrees was achieved in eight cases, and three degrees in one. All patients were satisfied with results. CONCLUSIONS Surgical correction of Sprengel's Deformity by a modified Green's procedure with contralateral posterior iliac crest fixation instead of skeletal traction, showed both cosmetic and functional improvements; all patients and/or family members were satisfied with the results, and the complications associated to the surgical technique did not interfere on end results.
منابع مشابه
Surgical treatment of sprengel's deformity: a modified Green procedure.
Twelve cases of Sprengel's deformity were treated surgically by a modification of Green's procedure. After clavicular osteotomy, all muscular attachments to the scapula were freed; an omovertebral band if present was cut and the scapula was rotated and moved caudal to a more normal position, to be sutured into a pocket of the latissimus dorsi. The patients included 10 female and 2 male patients...
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A case of Sprengel's deformity (congenital elevation of the scapula) in a 4-year-old boy, with a major cosmetic defect and compromised shoulder function, especially on abduction, is presented. The boy was operated on by Green's technique, with excellent cosmetic and functional result. Although Woorward's operative technique has generally been preferred in the treatment for Sprengel's deformity,...
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