Background: Sprengel deformity is a rare congenital anomaly characterized by failure of normal scapular descent during embryogenesis, resulting in a malpositioned, elevated scapula. It is associated with functional impairment and visible shoulder asymmetry, often necessitating surgical correction for improved mechanics and cosmesis.
Case Presentation: A 15-year-old female presented with a visible deformity of the left shoulder since birth, experiencing emotional distress but no pain or functional restriction. Examination revealed Cavendish grade 2 asymmetry with limited abduction (100°). Imaging confirmed left scapular elevation without omovertebral bar. The patient underwent the Woodward procedure with detachment and caudal reattachment of scapular muscles through a posterior midline incision.
Outcomes: Postoperative recovery was uneventful. Physiotherapy was initiated early, progressing to full activity by six weeks. At three months, shoulder abduction improved to 180°, with marked symmetry restoration and increased patient confidence. Functional and cosmetic benefits were sustained at six months.
Conclusion: The Woodward procedure offers effective functional and aesthetic improvement for moderate Sprengel deformity even in adolescence. Early postoperative mobilization is crucial for optimal outcomes. Surgical correction not only restores shoulder mechanics but also addresses psychosocial impacts in visible congenital deformities.
International Journal of Case Reports in Orthopaedics
