Nipun Jindal1, Parmanand Gupta. 1. Department of Orthopaedics, Government Medical College Hospital, Chandigarh, India.
Abstract
PURPOSE: To report the functional and cosmetic results of cases with Sprengel's shoulder who underwent the Woodward procedure. MATERIALS AND METHODS: Twelve children were operated at a mean age of 5.58 years and reviewed at an average follow up of 31.83 months. RESULTS: The mean preoperative Cavendish grade for cosmetic evaluation was 3.17, which decreased to 1.25 postoperatively (statistically significant, p < 0.0005, Wilcoxon signed-rank test). Similarly, the range of abduction at the shoulder increased from a mean of 115.83° preoperatively to 153.33° at final review (p < 0.0005). Age had a negative correlation with both functional improvement (r = -0.55, Spearman correlation coefficient) and cosmetic improvement (r = -0.11), although the latter suggested a very weak association, if any. Cavendish grade improvement and increase in abduction had a strong positive association (r = 0.713). However, there was no correlation between the increase in abduction and lowering of the scapula achieved (r = 0.131). The presence of an omovertebral bar did not affect the final functional outcome, nor did the presence of associated congenital anomalies. CONCLUSION: The Woodward procedure is a reliable method for obtaining uniformly predictable results in Sprengel's shoulder. The surgery should be performed at a younger age in order to optimise the functional outcome.
PURPOSE: To report the functional and cosmetic results of cases with Sprengel's shoulder who underwent the Woodward procedure. MATERIALS AND METHODS: Twelve children were operated at a mean age of 5.58 years and reviewed at an average follow up of 31.83 months. RESULTS: The mean preoperative Cavendish grade for cosmetic evaluation was 3.17, which decreased to 1.25 postoperatively (statistically significant, p < 0.0005, Wilcoxon signed-rank test). Similarly, the range of abduction at the shoulder increased from a mean of 115.83° preoperatively to 153.33° at final review (p < 0.0005). Age had a negative correlation with both functional improvement (r = -0.55, Spearman correlation coefficient) and cosmetic improvement (r = -0.11), although the latter suggested a very weak association, if any. Cavendish grade improvement and increase in abduction had a strong positive association (r = 0.713). However, there was no correlation between the increase in abduction and lowering of the scapula achieved (r = 0.131). The presence of an omovertebral bar did not affect the final functional outcome, nor did the presence of associated congenital anomalies. CONCLUSION: The Woodward procedure is a reliable method for obtaining uniformly predictable results in Sprengel's shoulder. The surgery should be performed at a younger age in order to optimise the functional outcome.
Authors: Abdulmonem M Alsiddiky; Zulqurnain Rafiq; Khalid A Bakarman; Fahad S Alhuzaimi; Muhammad Asif Journal: Indian J Orthop Date: 2020-07-02 Impact factor: 1.251
Authors: Paola Zarantonello; Giovanni Luigi Di Gennaro; Marco Todisco; Piergiorgio Cataldi; Stefano Stallone; Andrea Evangelista; Daniele Ferrari; Diego Antonioli; Giovanni Trisolino Journal: Children (Basel) Date: 2021-12-06