Sprengel’s shoulder, also known as congenital high scapula or undescended scapula, is a rare congenital condition where one shoulder blade (scapula) is positioned higher on the back than the other. It is typically present from birth and can be associated with other musculoskeletal anomalies. Treatment options for Sprengel’s shoulder include physical therapy to improve shoulder function and mobility, orthotic devices, and in some cases, surgery to reposition the scapula and improve the appearance and function of the shoulder. The goal of treatment is to enhance shoulder function and overall quality of life.