Congenital abnormalities

Congenital abnormalities

Sprengel’s shoulder The commonest congenital abnormality is due to abnormal scapular descent from its embryonic midcervical position. The typical presentation is a high, small, rotated scapula that remains connected to the cervical spine by a bony bar, fibrous band or an omovertebral body ( Figure 38.2 ). Other congenital deformities impacting on upper limb function are rib abnormalities and cervical or thoracic abnormalities, including scoliosis and Klippel–Feil syndrome (congenital fusion of cervical vertebrae). Pseudarthrosis of the clavicle is a congenital abnormality that can be mistaken for a birth-related fracture. In later life it can be mistaken for a non-union when radiographs are taken after trauma and attempts to plate and graft the lesion are usually doomed to failure. Congenital abnormalities

Sprengel’s shoulder The commonest congenital abnormality is due to abnormal scapular descent from its embryonic midcervical position. The typical presentation is a high, small, rotated scapula that remains connected to the cervical spine by a bony bar, fibrous band or an omovertebral body ( Figure 38.2 ). Other congenital deformities impacting on upper limb function are rib abnormalities and cervical or thoracic abnormalities, including scoliosis and Klippel–Feil syndrome (congenital fusion of cervical vertebrae). Pseudarthrosis of the clavicle is a congenital abnormality that can be mistaken for a birth-related fracture. In later life it can be mistaken for a non-union when radiographs are taken after trauma and attempts to plate and graft the lesion are usually doomed to failure. Congenital abnormalities

Sprengel’s shoulder The commonest congenital abnormality is due to abnormal scapular descent from its embryonic midcervical position. The typical presentation is a high, small, rotated scapula that remains connected to the cervical spine by a bony bar, fibrous band or an omovertebral body ( Figure 38.2 ). Other congenital deformities impacting on upper limb function are rib abnormalities and cervical or thoracic abnormalities, including scoliosis and Klippel–Feil syndrome (congenital fusion of cervical vertebrae). Pseudarthrosis of the clavicle is a congenital abnormality that can be mistaken for a birth-related fracture. In later life it can be mistaken for a non-union when radiographs are taken after trauma and attempts to plate and graft the lesion are usually doomed to failure.