We reviewed the cases of eleven patients with congenital elevation of
the scapula who were treated by the Woodward procedure. A discussion of the
characteristic findings, associated congenital anomalies, indications for
operation, and surgical techniques, and a review of the literature, also
are presented. The average postoperative increase in combined shoulder
abduction in the eleven patients was 29 degrees. However, if preoperative
abduction was less than 120 degrees (five patients), the average increase
in motion was 50 degrees. The average scapular lowering was 1.6
centimeters. The cosmetic results were rated as excellent or good in 82 per
cent of the patients. It is significant, however, that in more than 60 per
cent of the patients unsightly surgical scars developed. The importance of
the often-underemphasized rotational component of Sprengel's deformity is
stressed, as well as the importance of the meticulous surgical technique
and attention to detail that are essential for the best results.