Sprengel’s deformity of the shoulder joint treated by Woodward operation
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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.
This retrospective clinical study included 10 consecutive children who underwent a Woodward operation to correct the Sprengel’s shoulder deformity.
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.
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
KeywordsSprengel’s Shoulder deformity Woodward operation
We would like to express our sincere thanks to Dr. Wael Galal, Dr. Ola Hegab, Ms. Habiba Elzohairy and Ms. Marwa Fatthey, Egypt, for their help and support during the preparation of this study.
Compliance with ethical standards
Conflict of interest
The authors declare that there is no conflict of interest.
All human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.
All the procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1975 Helsinki Declaration as revised in 2000.
Informed consent was obtained from all individual participants included in the study.
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