Athletic Injuries of the Thoracic Cage

Combined Arthroscopic Scapulothoracic Bursectomy, Partial Scapulectomy, and Pectoralis Minor Release for the Treatment of Snapping Scapular Syndrome

“…There are similarities between the 2 disorders, such as the common occurrence of stiffness of the pectoralis minor muscle, as well as SSS in overhead athletes, and a certain number of patients may be expected to have a combination of both disorders, as in the present study. 3 , 6 , 7 Therefore, when examining patients with SSS, it is clinically important to consider the complication of PM tightness and to carefully examine patients for tenderness in the medial aspect of the coracoid process and abnormal scapular position to provide more appropriate surgical treatment.…”

“…It is not uncommon for patients who present with SSS to have some degree of scapular dyskinesia. 3 , 6 , 7 Tightness of the pectoralis minor muscle (PM) may disrupt the normal kinematics of the scapula and cause pain in the overhead throwing athletes who present with tenderness at the medial aspect of the coracoid process. 8 PM release is indicated in patients who have refractory pain despite adequate conservative treatment, and scapular dysfunction owing to the pathologic tightness of PM.…”