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Vertical scapular osteotomy in congenital high scapula

PURPOSE: Children with congenital high scapula (CHS) have a cosmetic and functional problem due to limited shoulder abduction. Treatment options include excision of the prominent superior angle, scapular relocation procedures and subtotal scapulectomy. Excision of the superomedial angle results only...

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Autores principales: Abdelaziz, Tarek Hassan, Samir, Shady
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4619367/
https://www.ncbi.nlm.nih.gov/pubmed/26281900
http://dx.doi.org/10.1007/s11832-015-0676-6
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author Abdelaziz, Tarek Hassan
Samir, Shady
author_facet Abdelaziz, Tarek Hassan
Samir, Shady
author_sort Abdelaziz, Tarek Hassan
collection PubMed
description PURPOSE: Children with congenital high scapula (CHS) have a cosmetic and functional problem due to limited shoulder abduction. Treatment options include excision of the prominent superior angle, scapular relocation procedures and subtotal scapulectomy. Excision of the superomedial angle results only in cosmetic improvement. Subtotal scapulectomy and relocation procedures are associated with ugly scars, extensive bleeding and high incidence of brachial plexus injuries. Vertical scapular osteotomy (VSO) is another surgical option that provides cosmetic and functional improvement. The aim of this study is to assess medium to long term results of VSO in treatment of CHS. METHODS: This is a prospective case series study. Seven children with CHS were treated at our unit. Age ranged from 5–13 years with an average of 8.4 years. All children were females with unilateral affection. All children underwent a VSO as described by Campbell. We used the Cavendish grading system together with combined shoulder abduction for assessment. Follow up averaged 4.6 years. RESULTS: All children and parents were extremely satisfied with the results of surgery. All patients experienced an improvement in global shoulder abduction with an average gain in abduction of 52.9°. All patients experienced an improvement in cosmetic appearance with better shoulder levelling. The Cavendish grade improved in all patients. CONCLUSION: This study emphasizes the results of previous authors demonstrating that CHS can be treated successfully with a VSO. The procedure is simple and its results are reproducible.
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spelling pubmed-46193672015-10-29 Vertical scapular osteotomy in congenital high scapula Abdelaziz, Tarek Hassan Samir, Shady J Child Orthop Original Clinical Article PURPOSE: Children with congenital high scapula (CHS) have a cosmetic and functional problem due to limited shoulder abduction. Treatment options include excision of the prominent superior angle, scapular relocation procedures and subtotal scapulectomy. Excision of the superomedial angle results only in cosmetic improvement. Subtotal scapulectomy and relocation procedures are associated with ugly scars, extensive bleeding and high incidence of brachial plexus injuries. Vertical scapular osteotomy (VSO) is another surgical option that provides cosmetic and functional improvement. The aim of this study is to assess medium to long term results of VSO in treatment of CHS. METHODS: This is a prospective case series study. Seven children with CHS were treated at our unit. Age ranged from 5–13 years with an average of 8.4 years. All children were females with unilateral affection. All children underwent a VSO as described by Campbell. We used the Cavendish grading system together with combined shoulder abduction for assessment. Follow up averaged 4.6 years. RESULTS: All children and parents were extremely satisfied with the results of surgery. All patients experienced an improvement in global shoulder abduction with an average gain in abduction of 52.9°. All patients experienced an improvement in cosmetic appearance with better shoulder levelling. The Cavendish grade improved in all patients. CONCLUSION: This study emphasizes the results of previous authors demonstrating that CHS can be treated successfully with a VSO. The procedure is simple and its results are reproducible. Springer Berlin Heidelberg 2015-08-19 2015-10 /pmc/articles/PMC4619367/ /pubmed/26281900 http://dx.doi.org/10.1007/s11832-015-0676-6 Text en © The Author(s) 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Clinical Article
Abdelaziz, Tarek Hassan
Samir, Shady
Vertical scapular osteotomy in congenital high scapula
title Vertical scapular osteotomy in congenital high scapula
title_full Vertical scapular osteotomy in congenital high scapula
title_fullStr Vertical scapular osteotomy in congenital high scapula
title_full_unstemmed Vertical scapular osteotomy in congenital high scapula
title_short Vertical scapular osteotomy in congenital high scapula
title_sort vertical scapular osteotomy in congenital high scapula
topic Original Clinical Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4619367/
https://www.ncbi.nlm.nih.gov/pubmed/26281900
http://dx.doi.org/10.1007/s11832-015-0676-6
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