Symptomatic Scapulothoracic Crepitus and Bursitis

Kuhn, John E.; Plancher, Kevin D.; Hawkins, Richard J.

doi:10.5435/00124635-199809000-00001

Cited by 96 publications

(87 citation statements)

References 11 publications

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“…Patients, often young adults, report crepitus, grinding sensations, or snapping noises, which may be painful. The condition usually is managed nonsurgically [8], but when symptoms persist, some are treated with surgery [3,4,8,11,13,21,22,24]. Various open surgical [10,15,16,24] or arthroscopic [2,7,9,12,14,19,20] treatments have been described, from a simple [24,25] to a more-substantial resection of almost the entire supraspinatus fossa [8] with associated bursectomy [12] or bursectomy alone [18,20].…”

Section: Introductionmentioning

confidence: 99%

Open Surgical Treatment for Snapping Scapula Provides Durable Pain Relief, but so Does Nonsurgical Treatment

Vastamäki

2016

Clinical Orthopaedics &Amp; Related Research

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Background Resection of the medial upper corner of the scapula is one option for treating patients with a painful chronic snapping scapula. However, the degree to which this procedure results in sustained relief of pain during long-term followup, and whether surgical treatment offers any compelling advantages over nonsurgical approaches at long-term followup, are not known. Questions/purposes We asked: (1) At long-term followup after surgical treatment of a painful snapping scapula, did patients' pain decrease? (2) Did scapulocostal crepitation improve? (3) Did patients return to work? Methods Between 1971 and 1992, 15 patients underwent surgery by one surgeon for persistent ([ 1 year) and severely painful crepitus around the superomedial scapula that did not respond to nonsurgical approaches. The procedure consisted of an open resection of the superomedial corner of the scapula and release of the levator scapulae muscle. Patients treated surgically were compared with a group of nine patients treated nonsurgically between 1975 and 1997; their treatments included temporary physiotherapy, massage, and NSAIDs. In general, the patients treated nonsurgically presented with less pain. However, during much of this study period, objective pain and functional scales were not in common use, and so baseline scores were not available. Of the 15 patients treated surgically, nine participated in a clinical and questionnaire survey at a mean of 22 years (range, 16-35 years), and 12 participated in a questionnaire survey a mean 27 years after surgery (range, 23-43 years). Of the nine patients treated nonsurgically, seven participated in a clinical followup and questionnaire survey at a mean followup of 16 years (range, 10-25 years), and all nine completed a questionnaire survey at a mean of 22 years (range, 17-33 years). Patient age at onset of symptoms was a mean of 27 years. The clinical followup and questionnaires focused on pain, crepitation, and work status.

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Section: Introductionmentioning

confidence: 99%

Open Surgical Treatment for Snapping Scapula Provides Durable Pain Relief, but so Does Nonsurgical Treatment

Vastamäki

2016

Clinical Orthopaedics &Amp; Related Research

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“…In large lesions, like in our case, needle can be inserted safely parallel to the chest wall but in smaller lesions care must be taken while inserting needle to avoid pneumothorax, 7 which is a potential complication. USG guided injections is another viable option for smaller and more concealed subscapular lesions.…”

Section: Injection Techniquementioning

confidence: 76%

Pseudo-winging of scapula due to benign lesions of ventral surface of scapula – Two unusual causes

Tittal

Pawar

Kapoor

2015

Journal of Clinical Orthopaedics and Trauma

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“…[1][2][3][4][5][6][7][8] Painful scapulothoracic crepitus and bursitis have been rarely reported, but are the examples of complications that can develop in thoracic joint. [7][8][9][10] It is important to know that there are two types of crepitus-precipitating conditions which are slightly different in character. Milch has divided scapulathoracic crepitus in two categories.…”

Section: Discussionmentioning

confidence: 99%

Painful Snapping Shoulder Complicating Soft Tissue Pseudotumor Secondary to Rib Osteochondroma: A Case Report

Moon

Jeon

Kim

et al. 2014

J Korean Bone Joint Tumor Soc

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Most of osteochondroma is asymptomatic and is initially noticed by non-tender palpable mass. It can affect any part of the body, but the common affected sites are distal femur, proximal humerus and proximal tibia. Sometimes repeated stimulation around mass causes painful idiopathic bursitis. [1][2][3][4][5] Osteochondromadevelop most commonly at distal femur, proximal humerus and proximal tibia, but the rib osteochondroma was reported less commonly. In this report, scapular snapping syndrome complicated by adventitious bursa and soft tissue pseudotumor surrounding the osteochondroma of the 6 th rib body was treated successfully by surgical excision of them. We report this rare case with reviewing the relevant literature.

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Symptomatic Scapulothoracic Crepitus and Bursitis

Cited by 96 publications

References 11 publications

Open Surgical Treatment for Snapping Scapula Provides Durable Pain Relief, but so Does Nonsurgical Treatment

Open Surgical Treatment for Snapping Scapula Provides Durable Pain Relief, but so Does Nonsurgical Treatment

Pseudo-winging of scapula due to benign lesions of ventral surface of scapula – Two unusual causes

Painful Snapping Shoulder Complicating Soft Tissue Pseudotumor Secondary to Rib Osteochondroma: A Case Report

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