Sprengel Shoulder in Children: Causes, Symptoms, Treatment, and Recovery

 Sprengel Shoulder, also known as congenital high scapula, is a rare pediatric orthopedic condition where one shoulder blade is positioned higher than the other. This congenital anomaly can limit arm mobility, cause discomfort, and lead to visible shoulder asymmetry in children. Early diagnosis and proper management are essential for improving function and appearance.



Causes of Sprengel Shoulder

Sprengel Shoulder occurs due to abnormal development of the scapula during fetal growth. While the exact cause is not always known, it is frequently associated with other skeletal anomalies such as Klippel-Feil syndrome, spinal deformities, or congenital musculoskeletal variations. Understanding the underlying cause is vital for tailoring treatment approaches.

Symptoms to Watch For

Parents should be vigilant for signs of Sprengel Shoulder, which may include:

  • One shoulder appearing visibly higher than the other

  • Limited range of motion in the affected arm

  • Weakness in shoulder muscles

  • Neck or back discomfort

  • Shoulder blade protrusion (winging scapula)

Early recognition of these symptoms allows timely intervention and better treatment outcomes.

Diagnosis and Evaluation

A pediatric orthopedic specialist, such as Dr. Venkatram Thyalapalli, evaluates Sprengel Shoulder through:

  • Physical Examination – Assessing range of motion, muscle strength, and shoulder symmetry

  • Imaging Tests – X-rays, CT scans, or MRI scans to determine the scapula’s position and any associated anomalies

Prompt diagnosis ensures an effective treatment plan tailored to the child’s specific needs.

Treatment Options

Treatment strategies depend on the severity of the condition:

Mild Cases

  • Physical therapy is recommended to enhance shoulder mobility and strengthen the surrounding muscles

  • Non-surgical management focuses on improving function and reducing discomfort

Moderate to Severe Cases

  • Surgical procedures such as Woodward’s procedure or Green’s procedure may be performed to reposition the scapula

  • Surgery aims to restore symmetry and improve arm function

Post-Treatment Recovery

After treatment, especially post-surgery, rehabilitation is crucial:

  • Physical Therapy: Focuses on regaining shoulder range of motion, strengthening muscles, and improving daily functionality

  • Pain Management: Medications and guided exercises help reduce post-operative discomfort

  • Long-Term Outlook: Most children experience significant improvements in shoulder function, posture, and overall symmetry

When to Consult a Pediatric Orthopedic Specialist

If your child shows signs of Sprengel Shoulder, early consultation is recommended. Dr. Venkatram Thyalapalli, a leading pediatric orthopedic surgeon in Hyderabad, specializes in congenital shoulder and musculoskeletal deformities, ensuring comprehensive care and optimal outcomes for children.

📅 Schedule an Appointment Today
 Book your consultation with the best pediatric orthopedic surgeon, Dr. Venkatram Thyalapalli, MBBS, M.S (Orthopedics) (OSM), Ilizarov Specialist, at Rainbow Children's Hospitals, Kukatpally & Banjarahills, Hyderabad.

Pediatric Orthopedician in Kukatpally: 𝗗𝗿 𝗩𝗲𝗻𝗸𝗮𝘁𝗿𝗮𝗺 𝗧𝗵𝘆𝗮𝗹𝗮𝗽𝗮𝗹𝗹𝗶
 Pediatric Orthopedician in Banjarahills: 𝗗𝗿 𝗩𝗲𝗻𝗸𝗮𝘁𝗿𝗮𝗺 𝗧𝗵𝘆𝗮𝗹𝗮𝗽𝗮𝗹𝗹𝗶

With early diagnosis, specialized treatment, and proper rehabilitation, children with Sprengel Shoulder can achieve improved shoulder function, better symmetry, and enhanced quality of life.

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