Sprengel's deformity

Ogden, John A.; Conlogue, Gerald J.; Phillips, Michelle; Bronson, Mary L.

doi:10.1007/bf00347214

Cited by 22 publications

(9 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cho et al, 3 using 3-dimensional computed tomography scans, identified no anomalies in the glenoid version in these children. Ogden et al 13 reported that the acromial end of the clavicle had a greater curvature on the involved side but did not appear to limit shoulder elevation.…”

Section: Discussionmentioning

confidence: 99%

Passive range of glenohumeral motion in children with a Sprengel’s deformity

Soldado

Ardente²,

Diaz‐Gallardo

et al. 2020

JSES International

View full text Add to dashboard Cite

Background In Sprengel's deformity, loss of shoulder motion has been attributed exclusively to scapulothoracic stiffness. The purposes of this study were to evaluate passive glenohumeral (GH) joint motion in these children. Methods A prospective evaluation of 23 children was performed. Obtained data were demographics, Cavendish grade, bilateral active global shoulder elevation, and multidirectional passive GH range of motion, including: (a) GH internal rotation in abduction and GH cross-body adduction to assess for posterior GH contracture; (b) spinohumeral abduction angle (SHABD) to assess for inferior GH contracture; (c) spinohumeral adduction angle to assess for superior GH contracture; and (d) passive external rotation in shoulder adduction and abduction to assess for anterior GH contracture. Paired t tests and both Pearson's and Spearman's correlation analyses were performed. Results The mean patient age was 8.1 years (range, 1.4-16.7 years), with 13.4% of deformities Cavendish grade 1, 52.2% grade 2, 13.4% grade 3, and 21.7% grade 4. The involved shoulder showed a statistically significant decrease in mean active global shoulder elevation (117.4° vs. 176.1°), SHABD (14.6° vs. 41.5°), cross-body adduction (43° vs. 71.3°), and internal rotation in abduction (17.8° vs. 49.4°), all at P < .001. Strong inverse correlations were noted between Cavendish grade and both global shoulder elevation ( r , −0.784) and SHABD ( r , −0.669). Cavendish grade IV patients showed a mean decrease of 45° (range, 40°-60°) of SHABD. Conclusion Shoulder elevation is also impaired by GH joint contractures.

show abstract

Section: Discussionmentioning

confidence: 99%

Passive range of glenohumeral motion in children with a Sprengel’s deformity

Soldado

Ardente²,

Diaz‐Gallardo

et al. 2020

JSES International

View full text Add to dashboard Cite

show abstract

“…The affected scapula is not only malpositioned but also dysplastic. It has been described as hypoplastic, 2,4,11,12,[15][16][17] with a decreased height-to-width ratio, 5,11,12,15,16 and occasionally with an anteriorly curved supraspinous process. 2,11,12,15 There have been, however, few reports of quantitative measurements.…”

Section: Discussionmentioning

confidence: 99%

“…There is only one description of a cadaver specimen with a Sprengel deformity in the English literature. 5 Three-dimensional CT (3D-CT) has been found to be useful in defining complex anatomical structures. 6,7 We have therefore assessed the Sprengel deformity by this method in order to clarify the anatomical abnormalities and to plan surgical treatment.…”

mentioning

confidence: 99%

The Sprengel deformity

Cho¹,

Choi²,

Chung³

et al. 2000

The Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

We evaluated scapular dysplasia and malposition in 15 patients with the Sprengel deformity using three-dimensional CT (3D-CT). The shape, height-to-width ratio, the areas of both scapulae, the anterior curvature of the supraspinous portion and glenoid version were assessed on scapular posterior, medial and inferior views. The degree of rotation and superior displacement were measured on the trunk posterior view. The omovertebral connection was also assessed and correlated with the operative findings. Most of the affected scapulae had a characteristic shape with a decrease in the height-to-width ratio and were larger than the contralateral scapulae. There was an inverse relationship between scapular rotation and superior displacement. The typical curve of the supraspinous portion of the scapula was seen in only three cases. There was no significant difference in glenoid version. The point of tethering of the omovertebral connection may determine the shape, rotation and superior displacement of the scapula. 3D-CT was helpful in delineating the deformity in detail, and in planning scapuloplasty.

show abstract

“…This defect was first described by Willett and Walsham [1880] (interestingly, Sprengel does not mention OB in his paper). Anatomical investigations related to surgical removal [Ogden et al, 1979] describe the articulation of the OB with the spine as either osseous or cartilaginous with the transverse and/or spinous processes of the lower cervical vertebrae. The articulation with the scapula can be either osseous, cartilaginous, or ligamentous.…”

Section: Birth Defectsmentioning

confidence: 99%

“…They favor the second hypothesis. The anatomy of the scapula in animals was discussed by Oxnard [1968] and subsequently discussed in the context of the origin of the OB by Ogden et al [1979]. Certain fishes have one or two additional structures (the cleithrum and supracleithrum) that are intimately related to the scapula in development and function [Howell, 1933a,b].…”

Section: Birth Defectsmentioning

confidence: 99%

Developmental anomalies of the scapula—the “omo”st forgotten bone

Williams¹

2003

American J of Med Genetics Pt A

View full text Add to dashboard Cite

Congenital malformations of the scapula, ranging from complete absence, to abnormal shape and position (Sprengel anomaly) are encountered, not infrequently, in genetic practice. Despite this, little is known of the embryologic origin of the scapula and the relationship of the embryology to the observed birth defects. Standard embryology texts, when discussing the subject at all, generally consider the scapula as part of the upper limb. The pattern of associated birth defects suggests that this is at least an oversimplification and may be inaccurate. Sprengel anomaly is the most frequently encountered malformation of the scapula. It can be seen in isolation, but is often seen in association with other defects that include; scoliosis, hemivertebrae, segmentation abnormalities of vertebrae and ribs (including Klippel-Feil sequence), spina bifida, clavicular abnormalities, renal abnormalities and hypoplasia of the muscles of the neck and shoulder. The ipsilateral limb is usually normal. An unappreciated association between Sprengel anomaly and diastematomyelia of the lumbar spine also raises questions about the embryologic origin of the scapula. 25-50% of Sprengel anomaly patients have an associated omovertebral band or bone that arises from the posterior process of a vertebral body and attaches to the superior angle/medial portion of the scapula. This is felt to be of scapular origin, but the report of at least one patient with an omovertebral bone, not associated with a Sprengel anomaly questions this assumption. Scapuloiliac dysostosis (Kosenow syndrome), a rare skeletal dysplasia, is associated with marked hypoplasia of the scapulae, clavicles and pelvis. Associated anomalies include eye anomalies, rib anomalies and spina bifida. The limbs are normal. Knockout of the Emx2 gene in mice yields a similar skeletal phenotype. Mutations in EMX2 in humans are associated with schizencephaly, not skeletal anomalies. Data on gene expression in the scapula will be reviewed. Based on this information, the author proposes that the scapula arises from 2 or more distinct embryologic anlage under different genetic control than the upper limb.

show abstract

Sprengel's deformity

Cited by 22 publications

References 13 publications

Passive range of glenohumeral motion in children with a Sprengel’s deformity

Passive range of glenohumeral motion in children with a Sprengel’s deformity

The Sprengel deformity

Developmental anomalies of the scapula—the “omo”st forgotten bone

Contact Info

Product

Resources

About