Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Paediatrics
Abstract number: 24226
CONGENITAL UNDESCENDED SCAPULA (22 CASES), MANAGMENT
Mohammed Ali F. AL -BAYATI 1 , Zuhair Abbas CH -HAILY 2 , Abid Ali MUHSIN 3
1 AL Wasity Hospital, Baghdad (IRAQ), 2 AL Kadumyia Hospital, Baghdad (IRAQ), 3 Al
Nahreen Medical college, Baghdad (IRAQ)
Introduction: Congenital Undescended Scapula widely known as Sprengel"s Scapula
is an uncommon congenital anomily; the Scapula is hypoplastic, elevated, deformed
and malpositioned with cervicle and thorasic spine and ribs anomilies as well as
abnormal muscular development. It present as cosmotic and functional disability
.First described by Eulenberg in Germany in 1863 .In 1891 Sprengel described 4
cases in Germany.Recently the deformity found in a mummified fetus from ancient
Egyptian civilization. Materials & Methods: Prospective study of 22 patients with
Sprengel"s Scapula deformity, 17 cases had surgical treatment by Woodward
operation. Follow up was from 3-24 months. Results: All the children improved in
scapular elevation by 2 grades and in abduction of shoulder 18 degrees in
average.Parants satisfactionwas good in 83% of cases .Two cases had Brachial
Plexus affection resolved completly. Discussion: Number of cases are small as it is a
rare condition, results are comparable to other studies. Conclusion: Sprengel"s
Scapula is cosmotic and functional disability and in its sever grades needs surgical
treatment, Woodward operation with modifications provides good results .Brachial
Plexus palsy can be an annoying complication need to be observed
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