upper scapula excision

Scapulohumeral upper resection is used for the surgical treatment of congenital high shoulder scapula. Congenital high shoulder deformity (Sprengel malformation) refers to the normal position of the scapula corresponding to the thoracic bone, usually accompanied by scapular dysplasia and morphological abnormalities, and other parts of the deformity such as cervical ribs, cervical deformity and so on. About 1/3 of the sick children can be found that the shoulder vertebrae is a diamond-shaped bone or cartilage piece connecting the superior scapula and the adjacent spinous lamina spines. If the deformity is not serious and the shoulder joint dysfunction is also mild, surgery is not considered. On the contrary, different surgical methods must be chosen according to the age of the sick child and the degree of malformation in other parts. After the age of 3 is the best surgery period, as the age of the sick child increases, it will increase the difficulty of surgery. There are a variety of surgical procedures to correct this deformity. Only the most common surgical methods are described here. Treatment of diseases: congenital high shoulder scapula Indication The upper scapula resection is suitable for: 1. Congenital high shoulder scapula, whose scapula is raised less than 5 cm than the contralateral side. 2. Those who are over 7 years old have lost the opportunity to do the scapula. Contraindications Because the operation can only improve the appearance, and the shoulder joint abduction function is not significantly improved, therefore, the age is less than 7 years old, and the deformity is severe, it is not appropriate to choose this operation. Surgical procedure Incision Make a horizontal incision on the scapula. Starting from the upper fiber of the trapezius muscle, it extends outward to the shoulder. Cut the skin and subcutaneous tissue along the incision line and free the flaps to the sides. 2. Expose and remove part of the scapula The trapezius muscle above the medial edge of the scapula is separated and retracted to reveal the upper part of the scapula and the shoulder vertebrae. Then cut off the attachment point of the scapula and rhomboid muscle at the scapula. According to the shape of the scapula, the part to be cut is designed. It generally includes the upper part of the scapula, the medial end of the scapula, and the nodule protruding from the inner edge of the scapula. If the shoulder vertebrae should be removed together. However, when the scapula and shoulder vertebrae are removed, they must be removed together with the periosteum to prevent postoperative bone tissue regeneration and affect the surgical outcome. 3. Suture incision Thoroughly stop bleeding and suture the incision layer by layer.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.