Shoulder Deformity Treatment For Children In Gurgaon

Shoulder deformities in children can arise from various factors, impacting their mobility and overall development. One specific shoulder deformity is the Sprengel shoulder, characterized by the malposition and underdevelopment of the scapula (shoulder blade).

Sprengel Shoulder:

Sprengel shoulder, also known as high scapula or congenital undescended scapula, is a rare shoulder deformity during fetal development. In this condition, one or both scapulae are abnormally positioned higher on the back, resulting in asymmetry and limited shoulder movement. The affected scapula may be smaller and have additional bony or muscular abnormalities.

Causes and Symptoms of Sprengel Shoulder:

The exact cause of Sprengel's shoulder needs to be better understood. It is thought to be related to abnormal migration and development of the scapula during embryonic growth. Genetic factors may also play a role in some cases. The symptoms of Sprengel's shoulder can vary depending on the severity of the deformity. Common signs and symptoms include:

Visible asymmetry:The affected shoulder appears more prominent on the back than the unaffected side.

Limited shoulder movement: Children with Sprengel's shoulder may have a restricted range of motion in the affected shoulder, particularly in abduction (raising the arm sideways).

Muscle tightness: The muscles surrounding the affected shoulder may be tight and underdeveloped, leading to additional functional limitations.

Shoulder blade prominence: The abnormally positioned scapula may cause a visible bulge or protrusion in the upper back.

Treatments of Sprengel Shoulder:

The treatment of Sprengel's shoulder typically involves a multidisciplinary approach, including orthopedic surgeons, physical therapists, and other healthcare professionals. The primary treatment goals are to improve shoulder function, correct the deformity, and enhance the overall appearance of the shoulder region.

Conservative management:

In mild cases of Sprengel's shoulder, conservative measures may be initially recommended. It may include physical therapy exercises to improve the range of motion, stretch tight muscles, and strengthen the shoulder girdle. Additionally, orthotic devices such as braces or slings may support the affected shoulder and promote proper alignment.

Surgaical Intervention Treatment For Children In Gurgaon

Surgical intervention:

Surgery is often required for moderate to severe cases of Sprengel's shoulder, mainly when conservative measures have not achieved the desired results. The specific surgical techniques may vary depending on the individual case, but standard procedures include.

Scapular osteotomy:

This surgical procedure involves repositioning the abnormally positioned scapula to a more everyday location. The surgeon may also remove any bony abnormalities or correct associated muscle imbalances.

Muscle releases:

In some cases, tight muscles surrounding the affected scapula may be released or lengthened to improve shoulder mobility and function.
Physical therapy and rehabilitation play a crucial role in the recovery process after surgical intervention. Physical therapy exercises are essential to regain strength, flexibility, and range of motion in the shoulder. Regular follow-up visits with the healthcare team are necessary to monitor progress, make any necessary adjustments to the treatment plan, and address potential complications.