抄録
Sprengel's deformity is a rare anomaly chracterized by congenitally elevated scapula and is often accompanied by restriction of shoulder abduction and flexion. We reviewed the cases of six patients with Sprengel's deformity who were treated by the Green's procedure. The age of these patients ranged from two to six years. Female to male ratio was 4:2, and right to left ratio was 1:5. Omovertebral bone was presented in four patients. The average postoperative increase in shoulder abduction in the six patients was 33 degrees. However, except for one case with normal preoperative abduction, the average increase was 39 degrees. The cosmetic result was evaluated according to Cavendish's cosmetic grades. Of the six patients, one had Grade-2 deformity and five had Grade-3 deformity preoperatively. Postoperatively, four patients attained to Grade-1, one to Grade-2, and one remained Grade-3. There was no brachial plexus palsy or wound infection. However, the severe keloid was seen in one patient. A patient who had omovertebral bone received Computerized Tomography (CT) scan, which served to clarity the spatial relation between cervical vertebrae and the omovertebral bone. It is recommended to use CT scan as one of the preoperative evaluations of this deformity.
