Best Doctor List Near You for Sprengel Deformity in Shingkhar gewog

Sprengel deformity, also known as congenital high scapula, is a rare congenital condition characterized by the abnormal position of one of the scapulae, typically the left one, which is elevated and often appears higher than the contralateral scapula. This deformity occurs due to the failure of the scapula to descend from its developmental position in the upper cervical region during embryogenesis, leading to a range of functional and aesthetic concerns. Clinically, patients with Sprengel deformity may present with a high-riding scapula that is often smaller and hypoplastic compared to the unaffected side, resulting in asymmetric shoulder appearance. The range of motion in the shoulder joint may be limited, and patients can experience pain or discomfort, particularly during activities that involve raising the arm or overhead motion. The deformity can be associated with other anomalies such as a "pseudoarthrosis" of the scapula, where the scapula is fused to the cervical spine or upper thoracic vertebrae, complicating the clinical picture. In addition, Sprengel deformity can coexist with scoliosis and other skeletal abnormalities, necessitating comprehensive evaluation. Diagnosis is primarily made through physical examination, where a distinct asymmetry of the shoulder girdle may be noted, and confirmed via imaging studies such as X-rays or MRI, which help in assessing the position and anatomy of the scapula and any associated anomalies. Treatment options are often dependent on the severity of the deformity and the functional impact on the patient. In cases where the deformity causes significant functional limitations or aesthetics concerns, surgical intervention may be considered. Surgical procedures may involve scapular reconstruction, scapulothoracic fusion, or release of the scapula from its abnormal attachments to allow for improved mobility and alignment. Post-operative rehabilitation is critical and typically includes physical therapy to enhance shoulder function and strength. In mild cases, particularly where there is little functional impairment, conservative management such as observation and physical therapy may suffice. Importantly, early diagnosis and intervention can improve outcomes and enhance the quality of life for those affected by this condition. Overall, while Sprengel deformity is a relatively rare condition, awareness and understanding of its presentation and potential impacts are essential for healthcare providers involved in the care of affected individuals. Through a multidisciplinary approach that may involve orthopedic surgeons, physical therapists, and other specialists, patients can receive tailored management to address both functional and aesthetic concerns effectively.