Sprengel's deformity (also known as high scapula, scapular hypoplasia, or congenital high scapula) is a rare congenital skeletal abnormality where a person has one shoulder blade that sits higher on the back than the other.

The deformity is due to a failure in early fetal development where the shoulder fails to descend properly from the neck to its final position.

[1] The deformity is associated with the following conditions:- The left shoulder is more commonly affected, but it can occur bilaterally as well.

Surgical treatment in adulthood is complicated by the risk of nerve damage when removing the omovertebral bone and when stretching the muscle tissue during relocation of the shoulder.

[citation needed] Diagnosis is clinical and can be confirmed by instrumental diagnostics like conventional radiography and CT scan.