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, 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.
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.
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.
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.
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.
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.