EURORAD ESR

Case 11408

Sprengel deformity in an infant

Author(s)
Alsina Seguí, Ena; Llorens Salvador, Roberto.

Hospital Universitario y Politécnico La Fe,
Imagen Pediátrica;
Bulevar Sur s/n, 46026,
Valencia, Spain;
Email:holarober@hotmail.com
 
Patient
male, 2 month(s)
 
 
  • Figure 1
    Chest Radiography
     

    Antero posterior chest radiography that shows an abnormal elevation of the left scapula.

     
    Area of Interest: Musculoskeletal bone; Paediatric; Thoracic wall; Imaging Technique: CT; Plain radiographic studies; Ultrasound; Procedure: Computer Applications-3D; Diagnostic procedure; Special Focus: Congenital;

    Same child this time with the arms-up position, showing more remarkable elevation of the left scapula.

     
    Area of Interest: Musculoskeletal bone; Paediatric; Thoracic wall; Imaging Technique: CT; Plain radiographic studies; Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 2
    US

    Patient lying in prone position. An accessory osseous structure (white arrow) is detected in left dorsal back, above the left scapula.

     
    Area of Interest: Bones; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 3
    Scapular CT
     

    Axial CT view (bone window settings). White star points out the abnormally high located left scapula. The white arrow shows the omovertebral bone that was shown in the US (Fig. 2.)

     
    Area of Interest: Bones; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;

    3D CT. Posterior view. Elevated, rotated and abnormally shaped left scapula (inferior white arrow). Two omovertebral bones are shown articulating with spinous processes of fourth to sixth cervical vertebrae (superior...

     
    Area of Interest: Bones; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Sagittal reconstruction CT. Detailed view of the two omovertebral bones (white arrows) articulating with the fused spinous processes of C4 and C5 vertebrae. The inferior and little one articulates with C6.

     
    Area of Interest: Bones; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
Antero posterior chest radiography that shows an abnormal elevation of the left scapula.
 
Same child this time with the arms-up position, showing more remarkable elevation of the left scapula.
 
Patient lying in prone position. An accessory osseous structure (white arrow) is detected in left dorsal back, above the left scapula.
 
Axial CT view (bone window settings). White star points out the abnormally high located left scapula. The white arrow shows the omovertebral bone that was shown in the US (Fig. 2.)
 
3D CT. Posterior view. Elevated, rotated and abnormally shaped left scapula (inferior white arrow). Two omovertebral bones are shown articulating with spinous processes of fourth to sixth cervical vertebrae (superior white arrow).
 
Sagittal reconstruction CT. Detailed view of the two omovertebral bones (white arrows) articulating with the fused spinous processes of C4 and C5 vertebrae. The inferior and little one articulates with C6.
 
 
 
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