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The patient was a boy, aged 11 years, who was seen at the Stanford Clinic. The parents said that he had been born with the left shoulder higher than the right, and that the deformity had steadily grown worse. They had noticed a curvature of the spine. No pain other than an occasional dull ache had been felt.

Examination showed a very high left scapula, very close to the spine, with a lateral curvature in the cervical region, and an asymmetry of the face. The scapula evidently was attached at its superior angle, and at this point there was a distinct prominence. A bony growth ran from it to the spine. The elevation amounted to about 10 cm. The motions of the head were limited.

The boy was photographed. Roentgenograms showed the high scapula and a bony growth like a short rib running from it to the spine at about