EARLY DIAGNOSTICS OF CONGENITAL HIGH POSITION OF SCAPULA

Abstract

Objective. To offer the use of the symptom of non-typical hair growth (SNHG), which looks as an eddy, in the region of the scapula for early screening diagnostics of Congenital High Position of Scapula (CHPS).

Material and Methods. We found non-typical hair growth in 12 children among 20 patients suffering from Sprengel’s disease: hair growth in the region of the scapula is similar to the growth of the hair in the parietal region of the head resembling the shell of a snail. To project this sign on the bone structures a tip of metal injection needle was located in the middle of hair eddy before radiography. Patients with CHPS underwent computed topography of the back, EMG, ECG, ultrasonography, and spirography.

Results. The center of the symptom is placed in the lower corner of the scapula on the side of patology. The same sign was revealed in spine projection in children with costae cervicalis, displastic and congenital scoliosis. Children with initial degrees of CHPS are given early permanent conservative treatment, which lead to good functional and cosmetic results. For diagnostics of severe degrees of Sprengel’s disease the use of SNHG is less important as the main symptoms of the disease are clearly seen.

Conclusion. SNHG is the indicator of dysplastic defects of skeleton development. It is reasonable to use SNHG in a scapula region during the screening examinations from babyhood with the purpose.