This document discusses congenital high scapula, defined as the failure of the scapula to descend from its embryonic position in the neck during intrauterine development. Radiological criteria are provided to diagnose the condition. Differential diagnoses include elevated scapula due to old paralysis or nerve injuries. Treatment involves scapular osteotomy.

1. Dr/ Hytham Nafady

2. Definition
Congenital high scapula.

3. Patho-physiology
• Failure of descent of the scapula from its
embryonic position in the neck
• (normally completed in the 3rd month of
intrauterine life).

6. Radiological criteria

10. DD
• Elevated scapula due to old paralysis.
Long thoracic nerve injury
Spinal accessory nerve injury

11. TTT
Scapular osteotomy

12. TTT
Scapular osteotomy