Functional Outcomes After Arthroscopic Scapulothoracic Bursectomy and Partial Superomedial Angle Scapulectomy

Tashjian, Robert Z.; Barney, J.; Partridge, Deveree

doi:10.1177/2325967113505739

Cited by 9 publications

(9 citation statements)

References 10 publications

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“…Five studies 13 , 23 , 35 , 41 , 47 reported VAS pain scores on a 0 to 10 scale. All improved postoperatively, from a mean of 6.9 ± 0.7 to a mean of 1.9 ± 0.9.…”

Section: Resultsmentioning

confidence: 99%

“…These studies investigated a combination of open and endoscopic scapulothoracic bursectomy, pectoralis minor tendon release, and partial scapular resection. The most commonly reported functional outcome scores were the American Shoulder and Elbow Surgeons (ASES) score (6 studies), 23 , 25 , 26 , 35 , 41 , 47 and the simple shoulder test (SST, 4 studies). 23 , 27 , 35 , 47 Mean ASES scores improved from 50.3 ± 12.2 to 80.6 ± 14.9 postoperatively, and SST scores from 5.6 ± 1.0 to 10.2 ± 1.1.…”

Section: Resultsmentioning

confidence: 99%

“…The most commonly reported functional outcome scores were the American Shoulder and Elbow Surgeons (ASES) score (6 studies), 23 , 25 , 26 , 35 , 41 , 47 and the simple shoulder test (SST, 4 studies). 23 , 27 , 35 , 47 Mean ASES scores improved from 50.3 ± 12.2 to 80.6 ± 14.9 postoperatively, and SST scores from 5.6 ± 1.0 to 10.2 ± 1.1. Notably, 4 of 6 reporting studies met the MCID of 27.1 for the ASES score and 2 of 4 studies met the MCID of 4.3 for the SST.…”

Section: Resultsmentioning

confidence: 99%

“…All surgical studies reviewed reported pain and functional improvement postoperatively, with a mean VAS score improvement from 6.9 to 1.9, mean ASES scores improved from 50.3 ± 12.2 to 80.6 ± 14.9, and mean SST scores from 5.6 ± 1.0 to 10.2 ± 1.1. 13,23,[25][26][27]35,41,47 Identification of the underlying etiology for SSS is paramount as anatomic variations in scapular morphology can predispose to SSS, and nonoperative treatment may not be effective in these cases. 50 In 13 cases examined by Lesprit et al, 22 nonoperative treatment was 50% (5 of 10) effective in alleviating idiopathic SSS symptoms.…”

Section: Managementmentioning

confidence: 99%

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Diagnosis and Treatment of Snapping Scapula Syndrome: A Scoping Review

Baldawi¹,

Gouveia²,

Gohal³

et al. 2021

Sports Health: A Multidisciplinary Approach

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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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“…Five studies 13 , 23 , 35 , 41 , 47 reported VAS pain scores on a 0 to 10 scale. All improved postoperatively, from a mean of 6.9 ± 0.7 to a mean of 1.9 ± 0.9.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

See 2 more Smart Citations

Diagnosis and Treatment of Snapping Scapula Syndrome: A Scoping Review

Baldawi¹,

Gouveia²,

Gohal³

et al. 2021

Sports Health: A Multidisciplinary Approach

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show abstract

“…However there are limitations to this approach. These include increased initial pain, large incisions with subsequent scarring, a requirement for rhomboid muscle detachment and the need for postoperative immobilization [ 9 , 10 ].…”

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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