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Congenital undescended scapula

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Sprengel's shoulder is a consequence of incomplete descent of the scapula during fetal life. Normally the scapula completes its descent from the neck in the 3rd month of fetal life; in Sprengel's shoulder it remains elevated.

The undescended scapula is generally higher and smaller than the normally descended scapula. It may be prominent. The movements of the maldescended scapula are painless; however there may be a limitation in abduction. Conditions associated with Sprengel's shoulder include fusion of the cervical vertebrae, kyphosis, scoliosis and radial dysplasia.

Treatment of this condition is usually not undertaken for mild cases. If there is marked limitation to abduction then there may be operative intervention to lower the scapula.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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