Abstract:Scapulothoracic arthroscopy is gaining recognition among arthroscopic procedures as it is considered a relatively low morbidity procedure; also, continuing studies of this technique are making it safer. Scapulothoracic arthroscopy can be used for removal of a foreign body. This case report describes the removal of a firearm projectile using image-guided arthroscopy, highlighting the anatomical aspects and characteristics of the surgical technique. In this case, the patient recovered uneventfully, with complete… Show more
“…Some authors utilized 2D conventional fluoroscopy [10] intraoperatively to make scapulothoracic arthroscopy safer, but no author has reported on the use of three-dimensional computed tomography. 3D CT scan is mostly used for preoperative diagnosis [16] .…”
Section: Discussionmentioning
confidence: 99%
“…The following 2 portals were used in our procedure: ( Fig. 4 ) Portal 1: between the scapular spine and the inferior angle of the scapula Portal 2: at the level of the superomedial angle (Ejnisman portal) [9] , [10] Fig. 4 The portrals used (green arrow).…”
“…Some authors utilized 2D conventional fluoroscopy [10] intraoperatively to make scapulothoracic arthroscopy safer, but no author has reported on the use of three-dimensional computed tomography. 3D CT scan is mostly used for preoperative diagnosis [16] .…”
Section: Discussionmentioning
confidence: 99%
“…The following 2 portals were used in our procedure: ( Fig. 4 ) Portal 1: between the scapular spine and the inferior angle of the scapula Portal 2: at the level of the superomedial angle (Ejnisman portal) [9] , [10] Fig. 4 The portrals used (green arrow).…”
“…This portal is named Ejnisman's portal. 23 According to the literature, the ideal duration of surgery is 30 minutes, and to avoid the occurrence of complications, the procedure should not last longer than 50 minutes, as reported by Andreoli et al 22 Those authors defined edema as a parameter for complications and categorized edema as follows: mild as localized swelling of the scapular region, however, allowing for visualization of the scapula contours; moderate as loss of the scapula contours; and severe as loss of the scapula contours and swelling extends to other regions such as the neck, inferior dorsal region, and contralateral side of the thoracic spine. 22 Millett et al 9 were not able to find any report of complications in the literature; nonetheless, arthroscopic techniques require additional training, and they emphasize that the technique is still under development.…”
Scapulothoracic arthroscopy is performed to treat scapulothoracic joint disorders, such as scapulothoracic bursitis, snapping scapula, and osteochondroma of the anterior scapula surface, and in the extraction of firearm projectiles. This article describes this treatment using an alternative superomedial portal and modified chicken-wing position to improve access to the scapulothoracic space and thus perform the procedure as safely as possible, with less morbidity and excellent results for the patients. S capulothoracic joint disorders may be characterized according to their etiology. 1,2 The presence of mechanical symptoms may denote a bony protrusion or abnormal morphology of the joint soft tissue 3 or can also be caused by a foreign body. These structural abnormalities frequently result in inflammation, bursitis, and scapular crepitus. In cases without mechanical symptoms, pain is related to the occurrence of overload syndrome, resulting in symptomatic bursitis. The latter phenomenon characteristically occurs in young, active patients and athletes who throw. 4 Scapulothoracic joint arthroscopy was first described by Ciullo and Jones (1,992) and has been continuously improved over time. 5-8 Although its indications are restricted, including snapping scapula syndrome, decompression for scapulothoracic bursitis, foreign From the Sports Medicine Division (P.S.B.
“…Pavlik et al 5 established a third superior portal, which is useful when a resection of the superomedial angle of the scapula during scapulothoracic bursectomy is necessary. Ejnisman et al 1 prefer the establishment of 4 portals, for example, for removal of foreign bodies. However, the exact position of the bony pathology should be identified preoperatively, for example, by using 3-dimensional computed tomography scan or magnetic resonance techniques.…”
Section: Discussionmentioning
confidence: 99%
“…It has precise indications, such as a snapping scapula, foreign-body resection, or benign tumor. 1 Surgical management is indicated typically in cases of failure of nonoperative treatment and more strongly in cases in which anatomic lesions are identified as the cause (e.g., scapular snapping causing pain).…”
This article describes the removal of a scapular osteophyte from the subscapular space by scapulothoracic arthroscopy. The endoscopic technique allows a gentle approach to the subscapular space without causing a large amount of surgical trauma and therefore leads to good cosmetic and functional results.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
