Sprengel deformity is a rare orthopedic condition that is associated with f
unctional and cosmetic impairment. Results of orthopedic procedures are usu
ally inconsistent and cosmetic results are far from satisfactory in these p
atients. A silicone-gel-filled calf prosthesis was used to correct the shou
lder contour in a patient with Sprengel deformity. Cosmetically the deformi
ty can be restored by using a calf implant for patients in whom orthopedic
procedures are not likely to yield a satisfactory outcome.