Partial Resection of the Scapula and a Release of the Long Head of Triceps for the Management of Sprengel's Deformity

Abstract

Previous surgical methods to address Sprengel's deformity by an attempted relocation of the scapula have achieved a limited functional improvement. A novel method was devised that includes a partial scapular resection, a removal of any omovertebral communication, and a release of the long head of triceps from the scapula. The results of eight cases are presented in which this method was used on 5 males and 3 females patients (age range, 19 months to 9 years). Early postoperative, active-assisted motion exercises for the patients were encouraged. On average, flexion improved from 100 degrees to 175 degrees and abduction improved from 90 degrees to 150 degrees. In one patient, a second operation was performed to remove an exostosis that followed the primary procedure. Initially, two keloid scars followed the use of a curvilinear incision. However, subsequently, this problem was eliminated by the use of a transverse incision. The new method seems to provide highly favorable functional and cosmetic results with a low morbidity.