What is a Sprengel shoulder?
Sprengel deformity is a rare congenital disorder in which the shoulder blade (scapula) is too high on one side of the body. The affected abnormal shoulder blade is also abnormally connected to the spine, often restricting movement of the shoulder.
What is Omovertebral bone?
[2] The omovertebral bone is an anomalous bone connecting the elevated scapula to the cervical spine, being called omovertebral bar should it be fused between them. It contributes to the immobility of the scapula and the functional impairment, and its resection should be performed if surgical treatment is pursued [1].
What does Sprengel mean?
: any of numerous high explosives formed by mixing just before use an oxidizing agent (such as nitric acid or potassium chlorate) and a combustible ingredient (such as nitrobenzene) neither of which by itself is explosive.
What is a scapular Dyskinesis?
Any bony or soft tissue injury around the shoulder can alter the roles of the scapula in motion or at rest. Scapular dyskinesis (which may also be referred to as SICK scapula syndrome) is an alteration or deviation in the normal resting or active position of the scapula during shoulder movement.
What is Omovertebral?
Gross anatomy It runs from the superomedial border of the scapula to the spinous processes, transverse processes or laminae of C4 to C7 1,2. Occasionally it can be bilateral 2. The connection from the scapula to the vertebrae may be fibrous or osseous.
What causes short neck?
Abnormal bone fusions of the cervical spine include assimilation of atlas, C2-3 fusion, and Klippel-Feil abnormalities. We recently identified that short neck is associated with simultaneous and proportionate decrease in vertical height of the skull in general and posterior cranial fossa in particular.
What is scapular winging?
Scapular winging, sometimes called a winged scapula, is a condition that affects the shoulder blades. Scapula is the anatomical term for the shoulder blade. The shoulder blades usually rest flat against the back of the chest wall. Scapular winging occurs when a shoulder blade sticks out.
What does Sprengel’s deformity of the shoulder mean?
Sprengel’s deformity of the shoulder is a dysplasia of the pectoral girdle, resulting in cosmetic and functional disability. The deformity is associated with other congenital anomalies, which often dictate the management and outcome of treatment.
What should I do if I have Sprengel’s shoulder?
Conservative treatment for Sprengel’s shoulder: In non-surgically cases encourage the child to participate in sports such as swimming to maintain ROM. Moderate to severe cases may require surgical management. Surgery: There are several surgical procedures used to treat Sprengel’s deformity.
What are the radiographic features of the Sprengel deformity?
Sprengel deformity 1 Pathology. The abnormality results from failure of caudal migration of the scapula during early fetal development. 2 Radiographic features. The affected scapula is elevated and rotated, with the inferior angle directed laterally. 3 Differential diagnosis. Kadavkolan AS, Bhatia DN, Dasgupta B et-al.
Can a patient with Sprengel’s deformity be ruled out?
It may be associated with cervical spine and renal anomalies. A diagnosis of Klippel-Feil should be ruled out as 20-42% of patients with Klippel-Feil have Sprengel’s deformity (Hensinger 1974). It is also associated with rib deformities, scoliosis, spina bifida, and congenital muscular torticollis.