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#WetreadCow Case 7
Hx: chest pain
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad @thoracicrad @chestcases @TanMohammedMD
Hx: chest pain
Please answer with professionally appropriate gif responses only. No spoilers! wetread.org #FOAMrad #FOAMed #radres #errad #chestrad @thoracicrad @chestcases @TanMohammedMD
#WetreadCow Answer: Sprengel's Deformity
-M/C congenital abnl of the shoulder
-Failure of ⬇️ scapula (starts mid-cervical)
-often part of Klippel-Feil Deformity (cervical vert fusion)
-shoulder asymmetry w ⬇️ ABduction
#FOAMed #radres #chestrad #chestcases #orthorad
-M/C congenital abnl of the shoulder
-Failure of ⬇️ scapula (starts mid-cervical)
-often part of Klippel-Feil Deformity (cervical vert fusion)
-shoulder asymmetry w ⬇️ ABduction
#FOAMed #radres #chestrad #chestcases #orthorad
Sprengel's Imaging:
- ⬆️ (blue arrows) and ↪️(red arrow) scapula so inf tip points to spine (? smaller)
- Uni- or Bi- lateral
-👀 for bony omovertebral bone (bony or fibrous scapulo-vertebral connection - usually C4-C7) - up to 50%
-👀 for rib/spine abnl (green arrows) (K-F)
- ⬆️ (blue arrows) and ↪️(red arrow) scapula so inf tip points to spine (? smaller)
- Uni- or Bi- lateral
-👀 for bony omovertebral bone (bony or fibrous scapulo-vertebral connection - usually C4-C7) - up to 50%
-👀 for rib/spine abnl (green arrows) (K-F)
