In the department of pediatric orthopedics of the RSSPMCTO over the past 15 years 82 children with a congenital high scapula at the age from 3 to 14 years have been treated. The osteoarticular and neuromuscular systems, X-ray, MSCT and electroneuromyographic studies were performed to assess the general condition of the patient. Surgical treatment was carried out in 34 children without reconstruction and in 40 with reconstruction of the shape of the scapula. Of all 74 patients examined in the long-term period after treatment, we obtained good results in 75.7% of cases, satisfactory in 21.6%, and unsatisfactory anatomical and cosmetic treatment results in 2.7%.