Mohamed Mansour Elzohairy1, Adel Mohamed Salama2. 1. Orthopaedic Surgery Department, Faculty of Medicine, Zagazig University, Zagazig City, Ash Sharqia Governorate, 44519, Egypt. elzohairy.me@gmail.com. 2. Orthopaedic Surgery Department, Faculty of Medicine, Zagazig University, Zagazig City, Ash Sharqia Governorate, 44519, Egypt.
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.
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.
Authors: Carlos Pargas; Adolfredo Santana; Wojciech L Czoch; Kenneth J Rogers; William G Mackenzie Journal: J Am Acad Orthop Surg Glob Res Rev Date: 2020-04-02
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