CORR Insights®: Open Surgical Treatment for Snapping Scapula Provides Durable Pain Relief, but so Does Nonsurgical Treatment

Warme, Winston J.

doi:10.1007/s11999-015-4645-7

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Nevertheless this study can contribute to the evidence for a multi-center comprehensive study in the future. A multicenter study will be useful in answering questions about the efficacy of the procedure in comparison to non operative treatment modalities and help clarify indications for the procedure [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Outcome of Scapulothoracic Arthroscopy for Painful Snapping Scapula

Islam¹,

Choudhry²,

Akbar³

et al. 2017

TOORTHJ

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Introduction:Patients with scapulothoracic syndrome present with pain in the scapulothoracic area aggravated by overhead and repetitive shoulder movements. The aim of our study was to assess the outcome of scapulothoracic arthroscopic treatment in patients with painful snapping scapula in our institution.Methods:Fourteen patients underwent scapulothoracic arthroscopic treatment for painful snapping scapula. Pre-operatively, all these patients had a trial of conservative treatment modalities for at least 6 months.Two portals along the medial border of scapula were used for arthroscopy and instrumentation. In three cases a superior portal was also used. The arm was placed in the “chicken wing” position so that the scapula lifted up from the chest wall. Outcome was assessed using pre and postoperative pain visual analogue score and Oxford Shoulder Score.Results:Of the fourteen patients included in our study, ten were female and four were male patients. Mean age at the time of surgery was 27.6 years. Mean follow up was 35.7 months. Pain visual analogue score improved significantly from a mean of 8.8 preoperatively to 2.5 postoperatively (P value 0.00002). There was also a significant improvement in Oxford Shoulder Score from a mean of 10.8 to 40.9 (P= 0.00001). Mean crepitus score significantly decreased from 2.6 to 0.21 (p < 0.00001). Crepitus completely resolved in eleven patients. In three there was residual palpable crepitus but they had good pain relief.Conclusion:Arthroscopic scapulothoracic treatment provides significant pain relief and functional improvement for painful snapping scapula symptoms not responding to non-surgical treatment modalities.

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Section: Discussionmentioning

confidence: 99%