title: [Operative treatment of congenital upward displacement of the shoulder blade].
abstract: In congenital elevation of the scapula the scapulothoracic movements and the patient's cosmetical appearance are affected. The aim of a number of operative procedures is the improvement or removal of this conditions. Between 1958 and 1978 15 patients with congenital elevation of the scapula were operatively treated by resection of the supraspinous portion of the scapula with or without relocating the scapula in a more caudal position, or in the method of König. 5 cases had a Grade-3 deformity, 9 cases a Grade-2 deformity and one case a Grade-1 deformity, measured in the technique of Rigault. By resection of the supraspinous portion of the scapula with mobilization of the scapula (6 cases) a mean caudalization of 2.7 cm. and a mean improvement in shoulder abduction of 32 degrees could be achieved. The procedure of König resulted in a mean scapular caudalization of 2.9 cm. and a mean improvement in shoulder abduction of 26 degrees. No important difference in the endresult could be found between the two operative procedures because of nearly the same pre-operative grading distribution of deformity. Only the partially unsightly surgical scars were dissatisfying.
mesh_terms: D002648:Child; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008722:Methods; D009068:Movement; D011859:Radiography; D012540:Scapula / Q000002:abnormalities* / Q000601:surgery; D012782:Shoulder / Q000000981:diagnostic imaging / Q000502:physiology
vernacular_title: Die operative Behandlung des angeborenen Schulterblatthochstandes.