Abstract | BACKGROUND: Sprengel's deformity is a rare congenital anomaly that can present in children, leading to cosmetic and functional impairment. This study investigated clinical results of this deformity among cases managed using a modified Green procedure. METHODS: From February 2008 to September 2015 a total of 34 patients with Sprengel's deformity were treated with a modified Green procedure. The mean age of patients at the time of surgery was 4.8 years (range 2-12 years) and the average follow-up time was 6.1 years (range 4-10 years). The shoulder abduction, Cavendish classification, Rigault classification, scapular elevation, and postoperative complications were evaluated. RESULTS: The mean shoulder abduction was 102.3° (range 70-140°) preoperatively and 142.6° (range 120-170°) postoperatively. The scapular elevation was 4.2 cm (range 2-6.5 cm) preoperatively and 1.35 cm (range 0-2 cm) postoperatively. Improvement by at least one Cavendish and/or Rigault grade was attained in all cases postoperatively. The differences in preoperative and postoperative shoulder abduction, scapular elevation, Cavendish grade and Rigault grade were statistically significant (p < 0.001). CONCLUSION: The modified Green procedure is a relatively safe and reliable method in the treatment of severe Sprengel's deformity, which ensures successful shoulder function as well as a good cosmetic appearance.
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Authors | Yu Jiang, Yuan Guo, Zhenghua Zhu, Yukun Wang |
Journal | Der Orthopade
(Orthopade)
Vol. 49
Issue 3
Pg. 255-259
(Mar 2020)
ISSN: 1433-0431 [Electronic] Germany |
Vernacular Title | Operatives Management einer Sprengel-Deformität mittels modifizierter Green-Technik : Eine Singlecenter-Erfahrung. |
PMID | 31628500
(Publication Type: Journal Article)
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Topics |
- Child
- Child, Preschool
- Congenital Abnormalities
(surgery)
- Humans
- Osteotomy
- Range of Motion, Articular
- Scapula
(abnormalities, surgery)
- Shoulder Joint
(abnormalities, surgery)
- Treatment Outcome
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