Sprengel Shoulder treated with modified Green’s procedure

  • Dr Jain S Mahatma Gandhi Memorial Medical College, Indore
  • Dr Jain M Mahatma Gandhi Memorial Medical College, Indore
  • Dr Ajmera A Mahatma Gandhi Memorial Medical College, Indore
Keywords: Sprengel shoulder, Scapula, congenital elevation of scapula


Case report: Sprengel shoulder or congenital elevation of the scapula is a rare condition of unknown aetiology that results from the abnormal termination of the caudal migration of the scapula. The main clinical changes are the hypoplasia and abnormal positioning of the scapula, causing cosmetic problems and limit the movements of the shoulder girdle. We report such a similar case of 6 years old child presenting with high ridging scapula, who had pain, difficulty in caring school bag and cosmetic deformity, He was successfully treated by modified Green’s procedure.


Download data is not yet available.


1. Harvey EJ, Bernstein M, Desy NM, Saran N, Ouellet JA. Sprengel deformity: pathogenesis and management. J Am Acad Orthop Surg 2012;20(3):177–86.

2. Eulenberg M: Beitrag zur Dislocation der Scapula. Amtliche Berichte u ¨ber die Versammlungen deutscher Naturforscher und A ¨rzte fu ¨r die Jahre 1863 (On the dislocation of the scapula. Official report of the meetings of German bioresearchers and physicians for the year 1863;37:291–4.

3. Sprengel O. Die angeborene vershiebung der schulterblattes nach oben. Archiv fur Klinische Chirurgie,1891;42:545-49

4. O’Brien SJ, Voos JE, Nevasier AS, Drakos MC. Developmental anatomy of the shoulder and anatomy of the glenohumeral joint. In: Rockwood CA, Matsen FA, editors. Th e Shoulder. 4th ed. Philadelphia, PA: Saunders/Elsevier; 2009. p. 1-12.

5. Carson WG, Lovell WW, Whitesides TE. Congenital elevation of the scapula. Bone Joint Surg Am 1981;2013:1199–207.

6. Samilson RL. Congenital and developmental anomalies of the shoulder girdle. Orthop Clin N Am. 1980;11:219-31.

7. Dhir R, Chin K, Lambert S. The congenital undescended scapula syndrome: Sprengel and the cleithrum: a case series and hypothesis. J Shoulder Elbow Surg. 2018;27:252-9.

8. Solanki C, Bhat DI, Devi BI. “Os” omovertebrale variants prove it to be a misnomer. Neurol India. 2016;64:984-7.

9. Cavendish ME. Congential elevation of the scapula. J Bone Joint Surg Br 1972;54:395–408.

10. Rigault P, Pouliquen JC, Guyonvarch G, et al. Congenital elevation of the scapula in childhood. Rev Chir Orthop. 1976;62:5-26.

11. Cho TJ, Choi IH, Chung CY, Hwang JK: The Sprengel deformity. Morphometric analysis using 3D-CT and its clinical relevance. J Bone Joint Surg Br 2000; 82(5): 711–8.

12. Reginaldo SS, Macedo RR, Andrade AR, et al. Sprengel's deformity: Surgical correction by a modified green procedure. Rev Bras Ortop. 2015;44:208-13.

13. Woodward JW. Congenital elevation of the scapula: correction by release and transplantation of the muscle origin: a preliminary report. J Bone Joint Surg. 1961;43:219-28.

14. Green WT. The surgical correction of congenital elevation of scapula (Sprengel deformity). Proceedings of the American Orthopedic Association. J Bone Joint Surg Am. 1957;(39):1439.

15. Mears DC. Partial resection of the scapula and a release of the long head of triceps for the management of Sprengel’s Deformity. J Pediatric Orthop. 2001; 21:242-5.

16. Leibovic SJ, Ehrlich MG, Zaleske DJ. Sprengel deformity. J Bone Joint Surg Am. 1990;72:192-7.
How to Cite
Dr Jain S, Dr Jain M, Dr Ajmera A. Sprengel Shoulder treated with modified Green’s procedure. ojmpc [Internet]. 2019Dec.31 [cited 2020Oct.20];25(2):85-8. Available from: https://ojmpc.com/index.php/ojmpc/article/view/90
Case Report