Sprengel’s deformity of the shoulder joint treated by Woodward operation

  • Mohamed Mansour ElzohairyEmail author
  • Adel Mohamed Salama



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



Sprengel’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.

Ethical standards

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.

Ethical approval

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

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  • Mohamed Mansour Elzohairy
    • 1
    Email author
  • Adel Mohamed Salama
    • 1
  1. 1.Orthopaedic Surgery Department, Faculty of MedicineZagazig UniversityZagazig CityEgypt

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