Sprengel's deformity: long-term follow-up study of 22 cases

Pasquale Farsetti; Stuart L Weinstein; Roberto Caterini; Fernando De Maio; Ernesto Ippolito

doi:10.1097/01202412-200305000-00007

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Sprengel's deformity: long-term follow-up study of 22 cases

Journal article

Peer reviewed

Sprengel's deformity: long-term follow-up study of 22 cases

Pasquale Farsetti, Stuart L Weinstein, Roberto Caterini, Fernando De Maio and Ernesto Ippolito

Journal of pediatric orthopaedics. B, Vol.12(3), pp.202-210

05/2003

DOI: 10.1097/01202412-200305000-00007

PMID: 12703036

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Abstract

This study examines the long-term results of 22 patients treated between 1938 and 1974 either surgically or by observation. Fourteen patients (16 scapulas) were treated by observation, seven patients (seven scapulas) were treated surgically by various methods, and one bilateral case was treated conservatively on one side and surgically on the other. The average follow-up was 26 years (range, 10-55) and the average age at follow-up was 32 years (range, 18-67). Shoulder abduction and cosmesis did not change appreciably over the years for the patients that did not undergo surgery, but the surgical patients did demonstrate an average improvement in shoulder abduction of 38 degrees. Seven of eight patients treated surgically reported a subjective improvement in the cosmetic appearance at follow-up, although four patients had an unsightly surgical scar. Pain in the affected shoulder was uncommon at follow-up in either group. We feel that the final result should be assessed from the viewpoint of the functional outcome and cosmetic appearance, independent of the radiographic aspect. Surgical treatment for patients with Sprengel's deformity is indicated when patient and family expectations are either improved cosmesis or improved function.

Scapula - abnormalities

Follow-Up Studies

Scapula - surgery

Humans

Middle Aged

Orthopedic Procedures - methods

Male

Treatment Outcome

Patient Satisfaction

Shoulder Joint - surgery

Shoulder Joint - abnormalities

Adolescent

Range of Motion, Articular

Adult

Female

Aged

Details

Title: Subtitle: Sprengel's deformity: long-term follow-up study of 22 cases
Creators: Pasquale Farsetti - Department of Orthopaedic Surgery, University of Rome Tor Vergata, Rome, Italy
Stuart L Weinstein
Roberto Caterini
Fernando De Maio
Ernesto Ippolito
Resource Type: Journal article
Publication Details: Journal of pediatric orthopaedics. B, Vol.12(3), pp.202-210
Publisher: United States
DOI: 10.1097/01202412-200305000-00007
PMID: 12703036
ISSN: 1060-152X
eISSN: 1473-5865
Language: English
Date published: 05/2003
Academic Unit: Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
Record Identifier: 9984040563202771

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