Elaborate Corrective Exercise Program after Surgical Correction for Sprengel’s Deformity: A Case Study

U. Hwang, Sung-hoon Jung, Hyeon-ju Lee, Ji-yeon Eun, Moon-hwan Kim
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Abstract

Congenital elevation of the scapula, referred to as Sprengel’s deformity, is a complex anomaly of malpositioning and dysplasia of the scapula, with subsequent abnormal development of bone and soft tissue, resulting in muscle hypoplasia and atrophy in the entire shoulder girdle.1 Sprengel’s deformity leads to cosmetic deformities and is often accompanied by functional impairment. Although many hypotheses have been proposed to explain how this developmental failure occurs, the exact cause remains unknown.1 Cavendish reported that the primary aim of surgical treatment in cases of Sprengel’s deformity was to improve the appearance and that functional improvements were not guaranteed.2 Several surgical procedures have been developed to enhance functional outcomes.3-7 One surgical intervention known as Green’s method performs placing the scapula in an downward positioned and then transferring inferiorly the muscle attachments of the upper, middle and Elaborate Corrective Exercise Program after Surgical Correction for Sprengel’s Deformity: A Case Study
Sprengel畸形手术矫正后精细矫正运动计划:个案研究
先天性肩胛骨上凸,简称Sprengel畸形,是一种肩胛骨位错和发育不良的复杂异常,随之而来的是骨骼和软组织的异常发育,导致整个肩带肌肉发育不全和萎缩Sprengel畸形导致美容畸形,并经常伴有功能障碍。尽管已经提出了许多假说来解释这种发育失败是如何发生的,但确切的原因仍然未知Cavendish报道,手术治疗Sprengel畸形的主要目的是改善外观,不能保证功能的改善已经开发了几种外科手术方法来提高功能结果。3-7一种被称为格林方法的手术干预是在Sprengel畸形手术矫正后,将肩胛骨置于一个向下的位置,然后将上部、中部的肌肉附着物转移到下方,并进行精细矫正运动计划:一个案例研究
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