Neglected Sprengel's deformity in an 80-year-old female cadaver: a case report

J Med Case Rep. 2024 Apr 28;18(1):211. doi: 10.1186/s13256-024-04528-w.

Abstract

Background: Sprengel's deformity is a congenital abnormality of the shoulder girdle. Because scapular retraction, such as the Green procedure, is usually performed during childhood to improve esthetics and shoulder function, Sprengel's deformity is rarely found in older patients.

Case presentation: We presented a unique case of a Japanese female cadaver with Sprengel's deformity at the age of 80 years. Anatomical dissection and radiological imaging revealed musculoskeletal anomalies associated with Sprengel's deformity, including Klippel-Feil syndrome, presence of an omovertebral bone, and absence of the trapezius muscle. In addition, bilateral cervical ribs were in contact with the brachial plexus. These anomalies may lead to numbness, pain, and limited range of motion of the neck and upper girdle with aging.

Conclusions: Because most adult patients with Sprengel's deformity experience neck pain and limited movement of the shoulder, the presented case is a rare case of neglected Sprengel's deformity in an 80-year-old cadaver.

Keywords: Cadaveric study; Case report; Klippel–Feil syndrome; Omovertebral bone; Sprengel’s deformity.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Brachial Plexus / abnormalities
  • Brachial Plexus / diagnostic imaging
  • Cadaver*
  • Congenital Abnormalities / diagnostic imaging
  • Female
  • Humans
  • Klippel-Feil Syndrome / complications
  • Scapula* / abnormalities*
  • Scapula* / diagnostic imaging
  • Shoulder Joint / abnormalities*

Supplementary concepts

  • Sprengel deformity