Performed by Dr. Venkat Ram Thyalapalli at Dr Venkatram Thyalapalli
Sprengel's Shoulder Correction is a surgical procedure to reposition a shoulder blade (scapula) that sits higher than normal due to a congenital condition called Sprengel's deformity. The surgery aims to lower the scapula, improve shoulder appearance, and enhance range of motion. Dr Venkatram Thyalapalli evaluates each child individually to determine the timing and approach best suited to their anatomy and functional needs.
We believe in honest, upfront disclosure so you can make an informed decision.
A step-by-step look at what happens during this procedure.
An incision is made over the shoulder and upper back to expose the elevated scapula and surrounding muscles and tissues.
Muscles, ligaments, and fibrous bands tethering the scapula in its high position are carefully released to allow the bone to move downward.
If the upper part of the scapula (the superomedial angle) is very prominent or contains abnormal bone or cartilage, it may be trimmed or removed.
The scapula is repositioned lower on the chest wall and may be temporarily secured with sutures or fixation to hold it in place while healing begins.
The incision is closed in layers, and the shoulder is immobilised with a sling, brace, or cast to protect the repair during early healing.
A structured, patient-first approach from first consultation to full recovery.
Dr Venkatram Thyalapalli performs a detailed physical examination and reviews imaging to understand the degree of elevation, muscle attachments, and any associated spine or rib abnormalities.
The extent of muscle release, bone resection, and fixation is tailored to each child's anatomy, balancing the goals of cosmetic improvement and functional gain.
Surgery is performed under general anaesthesia with careful monitoring throughout, ensuring the child's comfort and safety.
Structured immobilisation, pain management, wound care, and a guided physiotherapy programme are provided to support healing and restore shoulder function over the following months.
What to expect at each stage of your recovery journey.
The shoulder is kept immobilised in a sling, brace, or cast. Pain is managed with medications, and the child remains in hospital for observation and wound care.
After discharge, the child continues immobilisation at home. Gentle passive movements may begin under supervision to prevent stiffness, with regular follow-up visits.
Once the bone and soft tissues have healed sufficiently, active physiotherapy begins to regain strength, range of motion, and function. Return to normal activities is gradual and guided by clinical progress.
The surgery aims to lower the scapula and reduce the visible asymmetry of the shoulders, addressing the cosmetic concern that often prompts treatment.
Many children experience improved ability to lift and move the arm overhead, though the degree of improvement varies depending on the severity of the deformity and associated muscle abnormalities.
In children with very high deformities or associated nerve, muscle, or spine abnormalities, some degree of shoulder asymmetry or limited movement may remain even after surgery.
Full functional benefit depends on sustained physiotherapy and exercises. The surgery corrects the bony position, but muscle strength and coordination must be rebuilt over time.
The right choice depends on your diagnosis, risks and circumstances — discussed with you at your consultation.
For mild cases with minimal functional impairment, regular monitoring and physiotherapy to maintain shoulder movement and strength may be sufficient without surgery.
Some families choose to manage the cosmetic appearance with clothing or padding rather than pursue surgical correction, particularly if shoulder function is adequate.
Let's clear up some of the most common myths about sprengel's shoulder correction.
Get a personalised assessment from an experienced specialist. Understand your options, ask your questions, and decide with confidence.
Consult Venkat Ram Thyalapalli for Sprengel's Shoulder Correction at any of these 2 centres — pick the one nearest you.
