Functional improvement of the shoulder joint was limited in previously reported procedures for Sprengers deformity. We performed a new procedure on three cases that includes a partial scapular resection, a removal of the omovertebral bone and a partial muscle transfer of the trapezius to improve scapula abduction. The results of these three cases are presented this method was used on 1 male and 2 female patient (age range.3 to 4 years old). On the day following the operation, passive motion exercises for the patient were encouraged. On average, flexion improved from 97 to 163 degrees and abduction improved from 103 to 167 degrees. An unsightly surgical scar had not developed. This procedure was enabled us to obtain improvement of the range of motion of the shoulder. However, long-term follow up will be necessary to evaluate the cosmetics of the shoulder
