Sprengel's deformity is a rare birth defect where one shoulder blade sits higher than the other. This high-riding scapula is also abnormally attached to the spine, often limiting shoulder movement.
Understanding Sprengel's Deformity
Sprengel's deformity, also known as Sprengel's shoulder, is a congenital condition affecting the shoulder blade. It's characterized by:
- Elevated Scapula: The scapula (shoulder blade) on one side of the body is positioned significantly higher than normal.
- Abnormal Attachment: The scapula is abnormally connected to the spine, usually via a fibrous band or bone. This abnormal connection restricts normal movement.
- Shoulder Movement Limitations: The affected shoulder often has limited range of motion due to the high position and abnormal attachment of the scapula.
This condition can vary in severity, ranging from mildly noticeable to significantly impacting shoulder function.
Symptoms and Diagnosis
Symptoms can include:
- Asymmetry of the shoulders: One shoulder appears higher than the other.
- Limited range of motion: Difficulty raising the arm or rotating the shoulder.
- Visible or palpable mass: A noticeable lump or mass near the affected shoulder blade.
Diagnosis typically involves a physical examination and may include imaging studies like X-rays to confirm the diagnosis and assess the severity of the deformity.
Treatment Options
Treatment depends on the severity of the condition and the patient's age. Options may include:
- Observation: For mild cases, observation might be the only necessary treatment, particularly in young children.
- Surgery: Surgical intervention may be necessary to improve shoulder function and appearance in more severe cases. Surgical techniques aim to reposition the scapula and improve its mobility.
The reference states that Sprengel deformity is a rare congenital disorder where the scapula is too high on one side of the body and abnormally connected to the spine, often restricting shoulder movement.
