关键词: Cadaveric study Case report Klippel–Feil syndrome Omovertebral bone Sprengel’s deformity

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

来  源:   DOI:10.1186/s13256-024-04528-w   PDF(Pubmed)

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.
METHODS: 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.
摘要:
背景:Sprengel的畸形是肩带的先天性异常。因为肩胛骨收缩,如绿色程序,通常在童年时期进行,以改善美学和肩部功能,Sprengel的畸形在老年患者中很少发现。
方法:我们介绍了一个日本女性尸体的独特案例,该尸体在80岁时患有Sprengel的畸形。解剖解剖和放射学成像显示与Sprengel畸形相关的肌肉骨骼异常,包括Klippel-Feil综合征,存在一个Omvertetbone,和没有斜方肌。此外,双侧颈肋骨与臂丛神经接触。这些异常可能会导致麻木,疼痛,随着年龄的增长,颈部和上腰带的活动范围有限。
结论:因为大多数患有Sprengel畸形的成年患者会经历颈部疼痛和肩部活动受限,该病例是一例80岁尸体中被忽视的Sprengel畸形的罕见病例。
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