Öz
Aim: We aimed to evaluate our functional and aesthetic results of high scapula patients who were treated with Woodward procedure.
Materials and Methods: Nine congenital high scapula patients treated with Woodward procedure were evaluated retrospectively. Cavendish scoring system and visual analog scale (VAS) were used for evaluation. Pre- and postoperative range of motions of shoulder joint were also noted.
Results: Age range was 3-11 years (average: 5.33) and average follow up period was 21.8 months (13-32). There were 6 girls and 3 boys. Shoulder abduction angle was increased in all patients (average 48.3°). Cavendish scores and aesthetic appearance were better at postoperative controls. Range of shoulder motions was better in the patients who had no omovertebral bone than the ones having omovertebral bone. No complication was noted.
Conclusion: Woodward procedure involves only soft tissue reconstruction without need for osteotomy and is a safe and effective surgical procedure with low complication rates in the treatment of congenital high scapula.
Anahtar Kelimeler
Congenital high scapula Woodward procedure Sprengel’s deformity
Kaynakça
- Sprengel O. Die angeborene verschiebung des schullterbasters nach oben. Arch Klin Chir 1891;42:545-9.
- WG Carson, WW Lovell, TE Whitesides Jr. Congenital elevation of the scapula. Surgical correction by the Woodward procedure. J Bone Joint Surg Am 1981;63(8):1199-207.
- ME Cavendish. Congenital elevation of the scapula. J Bone Joint Surg Br 1972;54(3):395-408.
- Ozsahin M, Uslu M, Inanmaz E, Okur M. Bilateral congenital undescended scapula (Sprengel deformity). Am J Phys Med Rehabil 2012;91(4):374.
- Reboa E, De Langlade E. Klippel-Feil syndrome with congenital high scapula and cardiac dextroposition. La Pediatria 1961;70:1238-47.
- Green WT. The surgical correction of congenital elevation of the scapula (Sprengel’s deformity). J Bone Joint Surg Am 1957;39(6):1439-48.
- Mears DC. Partial resection of the scapula and a release of the long head of triceps for the management of Sprengel’s deformity. J Pediatr Orthop 2001;21(2):242-5.
- Woodward JW. Congenital elevation of the scapula. Correction by release and transplantation of muscle origins. A preliminary report. J Bone Joint Surg Am 1961;43(2):219-28.
- Greitemann B, Rondhuis JJ, Karbowski A. Treatment of congenital elevation of the scapula. 10 (2-18) year follow-up of 37 cases of Sprengel's deformity. Acta Orthop Scand 1993;64(3):365-8.
- Jindal N, Gupta P. Sprengel's shoulder treated by the Woodward procedure: Analysis of factors affecting functional and cosmetic outcome. J Child Orthop 2012;6(4):291-6.
- Walstra FE, Alta TD, van der Eijken JW, Willems WJ, Ham SJ. Long-term follow-up of Sprengel's deformity treated with the Woodward procedure. J Shoulder Elbow Surg 2013;22(6):752-9.
- Gonen E, Simsek U, Solak S, Bektaser B, Ates Y, Aydin E. Long-term results of modified Green method in Sprengel's deformity. J Child Orthop 2010;4(4):309-14.
- Masquijo JJ, Bassini O, Paganini F, Goyeneche R, Miscione H. Congenital elevation of the scapula: Surgical treatment with Mears technique. J Pediatr Orthop 2009;29(3):269-74.
- 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.
- Dilli A, Ayaz UY, Damar C, Ersan O, Hekimoglu B. Sprengel deformity: Magnetic resonance imaging findings in two pediatric cases. J Clin Imaging Sci 2011;1:13.
- Aşık M, Şen C, Akman Ş, Tozun R. Congenital scapula alata (Sprengel’s Deformity). Acta Orthop Traumatol Turc 2004;27(3):176-80.
Öz
Amaç: Çalışmamızda Woodward ameliyatı uyguladığımız yüksekte skapula olgularının fonksiyonel ve estetik sonuçlarını göstermeyi amaçladık.
Gereç ve Yöntem: Yüksekte skapula nedeniyle Woodward prosedürü ile opere edilmiş 9 olgu retrospektif olarak incelendi. Olguların değerlendirilmesinde Cavendish skorlama sistemi ve visual analog scale (VAS) kullanıldı. Omuz ekleminin pre- ve postoperatif hareket genişlikleri not edildi.
Bulgular: Yaş aralığı 3-11 yıl (5.33) olup, toplam takip süremiz ortalama 21.8 (13-32) ay idi. Olguların 3'ü erkek, 6’sı kız çocuğu idi. Tüm olgular ve aileler cerrahi sonuçlarından memnundu. Tüm olgularda omuz abduksiyon hareket genişliğinin arttığı (ortalama 48.3°) kaydedildi. Cerrahi sonrası Cavendish skorlama sisteminin ve kozmetik görünümün daha iyi olduğu gözlendi. Omovertebral kemik olmayanlarda, hareket genişliğinde daha belirgin düzelme olduğu görüldü. Komplikasyon görülmedi.
Sonuç: Woodward prosedürü, konjenital yüksekte skapula tedavisi için osteotomi ihtiyacı olmadan, sadece yumuşak doku rekonstrüksiyonu uygulanarak yapılan güvenli, komplikasyon oranı daha az olan, basit ve etkili bir yöntemdir.
Anahtar Kelimeler
Konjenital yüksekte scapula Woodward prosedürü Sprengel deformitesi
Kaynakça
- Sprengel O. Die angeborene verschiebung des schullterbasters nach oben. Arch Klin Chir 1891;42:545-9.
- WG Carson, WW Lovell, TE Whitesides Jr. Congenital elevation of the scapula. Surgical correction by the Woodward procedure. J Bone Joint Surg Am 1981;63(8):1199-207.
- ME Cavendish. Congenital elevation of the scapula. J Bone Joint Surg Br 1972;54(3):395-408.
- Ozsahin M, Uslu M, Inanmaz E, Okur M. Bilateral congenital undescended scapula (Sprengel deformity). Am J Phys Med Rehabil 2012;91(4):374.
- Reboa E, De Langlade E. Klippel-Feil syndrome with congenital high scapula and cardiac dextroposition. La Pediatria 1961;70:1238-47.
- Green WT. The surgical correction of congenital elevation of the scapula (Sprengel’s deformity). J Bone Joint Surg Am 1957;39(6):1439-48.
- Mears DC. Partial resection of the scapula and a release of the long head of triceps for the management of Sprengel’s deformity. J Pediatr Orthop 2001;21(2):242-5.
- Woodward JW. Congenital elevation of the scapula. Correction by release and transplantation of muscle origins. A preliminary report. J Bone Joint Surg Am 1961;43(2):219-28.
- Greitemann B, Rondhuis JJ, Karbowski A. Treatment of congenital elevation of the scapula. 10 (2-18) year follow-up of 37 cases of Sprengel's deformity. Acta Orthop Scand 1993;64(3):365-8.
- Jindal N, Gupta P. Sprengel's shoulder treated by the Woodward procedure: Analysis of factors affecting functional and cosmetic outcome. J Child Orthop 2012;6(4):291-6.
- Walstra FE, Alta TD, van der Eijken JW, Willems WJ, Ham SJ. Long-term follow-up of Sprengel's deformity treated with the Woodward procedure. J Shoulder Elbow Surg 2013;22(6):752-9.
- Gonen E, Simsek U, Solak S, Bektaser B, Ates Y, Aydin E. Long-term results of modified Green method in Sprengel's deformity. J Child Orthop 2010;4(4):309-14.
- Masquijo JJ, Bassini O, Paganini F, Goyeneche R, Miscione H. Congenital elevation of the scapula: Surgical treatment with Mears technique. J Pediatr Orthop 2009;29(3):269-74.
- 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.
- Dilli A, Ayaz UY, Damar C, Ersan O, Hekimoglu B. Sprengel deformity: Magnetic resonance imaging findings in two pediatric cases. J Clin Imaging Sci 2011;1:13.
- Aşık M, Şen C, Akman Ş, Tozun R. Congenital scapula alata (Sprengel’s Deformity). Acta Orthop Traumatol Turc 2004;27(3):176-80.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2017 |
| Gönderilme Tarihi | 12 Ağustos 2016 |
| Yayımlandığı Sayı | Yıl 2017 |