Question
The condition seen in the following image is?
| A. | Torticollis |
| B. |
Klippel-Feil syndrome |
| C. |
Milwaukee shoulder |
| D. |
Sprengel deformity |
Show Answer
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Correct Answer � D Explanation |
 |
Ans.D. Sprengel deformity
The given image shows an upward elevation of the scapula in relation to the thoracic cage characteristically seen in Sprengel deformity.
Sprengel deformity
- Sprengel deformity is usually noticed at birth and has both cosmetic and functional implications.
- The elevated scapula is visually noticeable and there is an associated restriction in the motion of the scapula and glenohumeral joint.
- Other congenital anomalies may be present, such as cervical ribs, malformations of ribs, and anomalies of the cervical vertebrae.
Treatment:
Surgery is done for cosmetic purposes and they are:
- Green procedure
- Woodward procedure
- Mears procedure
Other options:
Milwaukee shoulder: Chronic destructive arthritis of the shoulder seen in patients with rotator cuff lesions.
Klippel-Feil syndrome: Also, known as the congenital short neck is due to the failure of vertebral segmentation.
- The patients have a very short neck and neck movements are restricted or absent.
- X-rays may show fusion of the lower cervical vertebrae and various combinations of the associated disorders, together with scoliosis or kyphosis.
