Outcome of Mears procedure for XXXX .

@entity1 @entity154 @entity5511 @entity1184 @entity41537 @entity85 @entity130
BACKGROUND: @entity5511 is characterized by scapular maldescent and malposition, causing restriction of shoulder and cervical spine movements. It is associated with a variety of other @entity154 . Various surgical procedures have been described to treat this anomaly with no consensus as to the surgical procedure of choice. We report the results of the Mears procedure in the treatment of @entity5511 . MATERIALS AND METHODS: Seven @entity1 between the age group of two and six years were treated for @entity5511 , with omovertebral bar, and other @entity154 . The Cavendish score and Rigault radiological score were used to assess the severity of the @entity85 , and the position of the scapula relative to the cervical spine, respectively. The Mears procedure involved scapular osteotomy, par tial scapular excision, and release of a long head of triceps. @entity41537 was done only in two cases to decrease the risk of @entity130 to the brachial plexus. Postoperatively, the @entity1 were immobilized in a shoulder sling and range of motion exercises were started as early as possible. The @entity1 were followed regularly at six weeks, three months and regularly at six-months interval. RESULTS: The mean improvement in flexion and abduction was 45    (40 - 70   ) and 50    (40 - 70   ), respectively, which was the combined glenohumeral and thoracoscapular movement. The cosmetic and functional improvement by this procedure was acceptable to the @entity1 . Minor scar @entity1184 was seen in two cases. CONCLUSION: The Mears procedure gives excellent cosmetic and functional results. This procedure addresses the functional aspect of the @entity85 and is much more acceptable to the @entity1 and parents.
