Objective:

To evaluate the clinical efficacy of the Woodward procedure in children with Sprengel deformity, focusing on functional and cosmetic outcomes.

Approach:

Key Findings:

• Mean preoperative shoulder abduction was 114.2°.
• 92.3% of patients achieved excellent cosmetic results (Cavendish grade 1) postoperatively.
• 92.3% of patients improved to Rigault grade 1.
• Mean improvement of 2.1 grades for Cavendish and 1.5 grades for Rigault.
• Significant reduction in superior displacement from 32.68 mm to 11.33 mm postoperatively.
• Mean rotational angle decreased from 23.35° to 6.43°.
• Minimal complications with no brachial plexus injuries or reoperations reported.

Interpretation:

The Woodward procedure is a safe and effective surgical intervention for Sprengel deformity, leading to significant improvements in both cosmetic appearance and shoulder function in pediatric patients.

Limitations:

• Small sample size of 13 patients.
• Retrospective nature may introduce bias.
• Lack of a control group for comparison.

Conclusion:

The Woodward procedure provides significant and sustained improvements in cosmetic and functional outcomes for pediatric patients with Sprengel deformity.

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