[Operative treatment of severe forms of congenital elevation of the scapula in children].
The article presents results of operative treatment of 36 children with severe forms of congenital high scapula. An original and used by us method of operative treatment of children with a severe form of Sprengel deformity is described. Distinctive features of the method are: mobilization of the suprascapular vascular-nervous bundle, correction of scapula deformities followed by a recovery of congruency of the sliding surfaces of the scapula and chest, physiological fixation of the scapula in the new place, separating off the paravertebral muscles and their sewing on to the medial edge of the scapula that allows a recovery of the function of lost trapezoid and rhomboid muscles and in some cases a shortening osteotomy of the clavicle is performed preventing the descending of the scapula. An analysis of the external view of the shoulder made after the operation has shown that the result was good in 57.5% of children, satisfactory in 42.5%. The functional indices characterizing the increased amplitude of movements in the shoulder joint were good in 47.5%, and satisfactory in 52.5%. The cosmetic and functional results of the treatment allow the developed technique to be recommended for treatment of severe forms of the Sprengel disease in children.
Pozdeev
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D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012540:Scapula / Q000002:abnormalities* / Q000601:surgery; D016896:Treatment Outcome; D038062:Upper Extremity Deformities, Congenital / Q000601:surgery*