The effectiveness of extracorporeal shock wave therapy in snapping scapula

Acar, Nihat; Karaarslan, Ahmet; Karakaşlı, Ahmet

doi:10.1177/2309499016684723

Cited by 9 publications

(9 citation statements)

References 29 publications

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“… 24 , 50 In this review, 4 studies (2 CSI and 2 ESWT therapy) found improved VAS scores from a mean of 7.7 ± 0.5 pretreatment to 2.4 ± 0.6 at the latest follow-up, which is comparable to the the 5 operative management studies reporting VAS improvement postoperatively, from a mean of 6.9 ± 0.7 to a mean of 1.9 ± 0.9. 1 , 2 , 7 , 8 , 13 , 23 , 35 , 41 , 47 Notably, this improvement in VAS is greater than the MCID of 3 for both groups. Only 1 comparative study was identified between open superomedial scapular resection to nonoperative management and no significant difference was found between groups in the low-power study.…”

Section: Discussionmentioning

confidence: 82%

“…Nonoperative treatment for SSS was analyzed in 8 studies (249 patients), as shown in Appendix Table 4 (available online) , with a mean age of 37.3 years and a mean follow-up of 5.9 months (range, 2.5-12 months). Visual analogue scale (VAS) pain scores were reported by 4 studies (2 investigated the use of ESWT, and 2 reported on CSI) 1 , 2 , 7 , 8 and improved from a mean of 7.7 ± 0.5 pretreatment to 2.4 ± 0.6 at the latest follow-up. While the minimal clinically important difference (MCID) was not reported by the aforementioned studies, the MCID for VAS has been previously reported to be 3, resulting in clinically significant reported pain reduction.…”

Section: Resultsmentioning

confidence: 99%

“…CSI achieved a mean of 37-point reduction in VAS score on a 100-point scale after 6 months of treatment, compared with a mean of 60-point reduction in VAS score 6 months after ESWT. 1,2 Another study suggested that optimal VAS score reduction and symptom improvement is offered by middle-energy ESWT compared with low-energy ESWT (level 3 evidence), especially with long-term results. 1 All 4 studies using exercise or rehabilitation found clinical improvement posttreatment.…”

Section: Nonoperative Treatmentmentioning

confidence: 99%

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Diagnosis and Treatment of Snapping Scapula Syndrome: A Scoping Review

Baldawi¹,

Gouveia²,

Gohal³

et al. 2021

Sports Health

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Context: Snapping scapula syndrome (SSS) is commonly misdiagnosed and underreported due to lack of awareness. Objective: This scoping review aims to summarize the current evidence related to SSS diagnosis and treatment to aid clinicians in managing the condition more effectively. Data Sources: PubMed, Medline, and Embase databases were searched for studies related to the etiology, diagnosis, or treatment of SSS (database inception to March 2020). Study Selection: Databases were searched for available studies related to the etiology, diagnosis, or treatment of SSS. Study Design: A scoping review study design was selected to explore the breadth of knowledge in the literature regarding SSS diagnosis and treatment. Level of Evidence: Level 4. Data Extraction: Primary outcomes abstraction included accuracy of diagnostic tests, functional outcomes, and pain relief associated with various nonoperative and operative treatment options for SSS. Results: A total of 1442 references were screened and 40 met the inclusion criteria. Studies commonly reported SSS as a clinical diagnosis and relied heavily on a focused history and physical examination. The most common signs reported were medial scapular border tenderness, crepitus, and audible snapping. Three-dimensional computed tomography had high interrater reliability of 0.972, with a 100% success rate in identifying symptomatic incongruity of the scapular articular surface. Initial nonoperative treatment was reported as successful in most symptomatic patients, with improved visual analogue scale (VAS) scores (7.7 ± 0.5 pretreatment, to 2.4 ± 0.6). Persistently symptomatic patients underwent surgical intervention most commonly involving bursectomy, superomedial angle resection, or partial scapulectomy. High satisfaction rates of surgery were reported in VAS (6.9 ± 0.7 to 1.9 ± 0.9), American Shoulder and Elbow Surgeons scores (50.3 ± 12.2 to 80.6 ± 14.9), and mean simple shoulder test scores (5.6 ± 1.0 to 10.2 ± 1.1). Conclusion: Focused history and physical examination is the most crucial initial step in the diagnostic process, with supplemental imaging used to assess for structural etiologies when nonoperative management fails. Nonoperative management is as effective as surgical management in pain relief and is advised for 3 to 6 months before operative treatment.

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Section: Discussionmentioning

confidence: 82%

Section: Resultsmentioning

confidence: 99%

Section: Nonoperative Treatmentmentioning

confidence: 99%

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Diagnosis and Treatment of Snapping Scapula Syndrome: A Scoping Review

Baldawi¹,

Gouveia²,

Gohal³

et al. 2021

Sports Health

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“…Corticosteroid injections (CSI) have also proven to be effective as an initial nonoperative treatment, which can be particularly useful as a diagnostic tool differentiating between scapular superomedial angle pathology and scapulothoracic bursitis in patients with superomedial angle pain (20). Extracorporeal shockwave therapy (ESWT) is another nonoperative modality, which has been successfully used in the treatment of snapping scapula bursitis (21). Both ESWT and CSI can be utilized as adjuncts to the rehabilitation program (21).…”

Section: Managementmentioning

confidence: 99%

Snapping of the Upper Limb: a Clinical Overview

Moscagiuri¹,

Frizziero²,

Bigliardi³

et al. 2022

Muscle Ligaments and Tendons J

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Snapping results from an abrupt displacement of an anatomic or pathologic structure during the movement of a closely related joint. Snaps are audible, palpable, and often, visible. Snapping phenomena are common within the general population and, in most cases, are associated with mild symptoms. However, especially in athletes, snapping could determine pain and functional impairment that may severely affect their sport activities. We focus on three major types of snapping occurring at specific joints of the upper limbs: the shoulder, the elbow, and the wrist. Here, we provide a comprehensive overview of major advances in the aetiology, pathophysiology, diagnostic imaging, and treatments of these specific snapping phenomena.

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“…Acar et al have recently described an Extracorporeal shockwave therapy (ESWT) with good outcome results in treatment of scapulothoracic syndrome [ 7 ]. Open or arthroscopic scapulothoracic surgical treatment is an option when non-operative modalities have failed.…”

Section: Introductionmentioning

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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The effectiveness of extracorporeal shock wave therapy in snapping scapula

Cited by 9 publications

References 29 publications

Diagnosis and Treatment of Snapping Scapula Syndrome: A Scoping Review

Diagnosis and Treatment of Snapping Scapula Syndrome: A Scoping Review

Snapping of the Upper Limb: a Clinical Overview

Outcome of Scapulothoracic Arthroscopy for Painful Snapping Scapula

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