Cargando…
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...
Autores principales: | , |
---|---|
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 |
_version_ | 1782397086131552256 |
---|---|
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. |
format | Online Article Text |
id | pubmed-4619367 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT abdelaziztarekhassan verticalscapularosteotomyincongenitalhighscapula AT samirshady verticalscapularosteotomyincongenitalhighscapula |