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Monday, February 7, 2011

SPRENGEL'S SHOULDER

Congenital elevation of the shoulder is a condition in which the scapula is smaller than normal and situated at a higher level. The inferior angle is rotated inwards, and abduction is restricted.
In bilateral cases the appearance of the patient at first suggests that the neck is abnormally short. In some cases this is true as a result of congenital fusion of cervical vertebrae. The rhomboid muscles or ossified, and the trapezius and serratus muscle are some time deficient.
Treatment consists in exercises if such are considered necessary, but surprisingly little disability results. Operations to improve function are unsatisfactory, but the upper and inner portion of the scapula may be excised for cosmetic improvement.

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