Department of Anatomy, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8550 , Japan.
J Med Case Rep. 2024 Apr 28;18(1):211. doi: 10.1186/s13256-024-04528-w.
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.
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.
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.
Sprengel 畸形是一种先天性的肩带异常。由于肩胛骨回缩（如 Green 手术）通常在儿童期进行，以改善美观和肩部功能，因此 Sprengel 畸形在老年患者中很少见。
我们报告了一例 80 岁日本女性尸体中 Sprengel 畸形的独特病例。解剖和影像学揭示了与 Sprengel 畸形相关的肌肉骨骼异常，包括 Klippel-Feil 综合征、存在椎体骨和斜方肌缺失。此外，双侧颈肋与臂丛神经接触。这些异常可能导致颈部和肩部随年龄增长出现麻木、疼痛和活动范围受限。
由于大多数患有 Sprengel 畸形的成年患者会出现颈部疼痛和肩部活动受限，因此本例是一例罕见的、被忽视的 80 岁尸体中 Sprengel 畸形病例。
