Document Detail

Surgical treatment of Sprengel's shoulder: Experience at the Rizzoli Orthopaedic Institute 1975-2010.
MedLine Citation:
PMID:  22529096     Owner:  NLM     Status:  In-Data-Review    
The outcome of 56 children (61 shoulders) treated surgically at the Rizzoli Institute between April 1975 and June 2010 for congenital elevation of the scapula is reported. There were 31 girls and 25 boys with a mean age at surgery of 6.4 years (2 to 15). The deformity involved the right shoulder in 20 cases, the left in 31 and was bilateral in five. The degree of the deformity was graded clinically and radiologically according to the classifications of Cavendish and Rigault, respectively. All patients underwent a modified Green procedure combined, in selected cases, with resection of the superomedial portion of the scapula and excision of any omovertebral connection. After a mean follow-up of 10.9 years (1 to 29.3), there was cosmetic improvement by at least one Cavendish grade in 54 shoulders (88.5%). The mean abduction of the shoulder improved from 92° (50° to 155°) to 112° (90° to 170°) and the mean flexion improved from 121° (80° to 160°) to 155° (120° to 175°). The unsatisfactory cosmetic result in seven shoulders was due to coexistent scoliosis in two cases and insufficient reduction of the scapular elevation in the other five. An incomplete upper brachial plexus palsy occurred post-operatively in three patients but resolved within seven months. We suggest that a modified Green procedure combined with resection of the superomedial portion of the scapula provides good cosmetic and functional results in patients with Sprengel's shoulder.
G L Di Gennaro; M Fosco; M Spina; O Donzelli
Related Documents :
22526046 - Esophagogastric trauma in scotland.
25060686 - Which should be the gold standard laparoscopic technique for handling spigelian hernias?
22468056 - External coloanal anastomosis without covering stoma in low-lying rectal cancer.
22823416 - Exploring the role of laparoscopic surgery in two-stage hepatectomy for bilobar colorec...
24493116 - Quality of life improves after strabismus surgery in patients with graves' orbitopathy.
23375696 - Time to intervention in patients with splenic injury in a dutch level 1 trauma centre.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  94     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  709-12     Citation Subset:  AIM; IM    
Pediatric Department, Istituto Ortopedico Rizzoli, Via G.C. Pupilli 1, Bologna 40136, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A randomised pilot trial of "locking plate" fixation versus intramedullary nailing for extra-articul...
Next Document:  Increasing stability by pre-bending the nails in elastic stable intramedullary nailing: A biomechani...