Scapulothoracic Endoscopy: Anatomic, Clinical, and Surgical Perspectives

Matthews, Leslie S.; Yurkofsky, Jeffrey

doi:10.1007/978-0-387-21541-9_17

Cited by 2 publications

(9 citation statements)

References 4 publications

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“…25 Nonoperative treatment modalities should be the first line of treatment in scapulothoracic bursitis; however, in the case of failed conservative treatment, arthroscopic and open procedures maybe considered. 13,28 Ciullo et al had applied iontophoresis and ultrasound to the undersurface of the superomedial border of the scapula to treat scapulothoracic painful bursitis and they have obtained fair-to-good results. 22 Percy et al had described the application of ethyl chloride to the trigger area of the superomedial scapular angle; however, the results were not satisfactory.…”

Section: 28mentioning

confidence: 99%

“…For those who don't respond to nonoperative measures, operative interventions like partial open scapulectomy and arthroscopic bursectomy are a choice. 13 Extracorporeal shockwave therapy (ESWT) healing effect has been studied by many researchers in treating inflammatory conditions. Some investigators have demonstrated its efficacy in the treatment of many chronic inflammatory conditions around the heel, elbow, and the shoulder joint, 14,15 while other studies claimed that ESWT provides little or no benefit in terms of pain and function for tennis elbow and rotator calf pathologies.…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of extracorporeal shock wave therapy in snapping scapula

Acar¹,

Karaarslan

Karakaşlı

2017

J Orthop Surg (Hong Kong)

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Background: Bursitis of the snapping scapula is commonly a misdiagnosed problem. Extracorporeal shockwave therapy (ESWT) has been used successfully in the treatment of many chronic inflammatory conditions. The aim of this study was to assess and compare the effectiveness of ESWT in the treatment of scapulothoracic bursitis with the outcome of corticosteroid injection. Methods: Using the randomized controlled trials 43 patients with scapulothoracic bursitis were divided into two groups. Group 1 (n ¼ 22) received three sessions of ESWT. Group 2 (n ¼ 21) received a single local injection of 80 mg of methylprednisolone. Visual analogue scale (VAS) scores were recorded at each follow-up, whereas the level of satisfaction was evaluated using the Roles and Maudsley criteria. Results: In group 1, the average VAS scores after 1, 2, 3, and 6 months were 39, 30, 27, and 16, respectively, whereas, in group 2, the average VAS scores were 46, 44, 35, and 36, respectively. There was no statistical significance between the two groups in the first and second months. However, after 3 and 6 months, group 1 revealed lower average VAS scores compared to that of the second group with p-values (0.012 and 0.001), respectively. Roles and Maudsley criteria showed that first group patients were 46% excellent, 36% good, 14% acceptable, and 4% had poor results. However, second group patients were 24% excellent, 33% good, 19% acceptable, and 24% had poor results. Conclusion: We believe that ESWT is a beneficial and trustable method of treatment and can be strongly recommended in painful cases of scapulothoracic bursitis.

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Section: 28mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effectiveness of extracorporeal shock wave therapy in snapping scapula

Acar¹,

Karaarslan

Karakaşlı

2017

J Orthop Surg (Hong Kong)

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“…42 The scapula is the essential link for coordinated upper extremity activity. However, there is no true bony attachment from the scapula to the axial skeleton; its stability is provided by the surrounding musculature.…”

Section: Anatomymentioning

confidence: 99%

“…It is crucial, clinically and surgically, to have a clear understanding of the anatomy and biomechanics of the scapulothoracic articulation when treating scapulothoracic bursitis and scapulothoracic crepitus. 42 The scapula is the essential link for coordinated upper extremity activity. However, there is no true bony attachment from the scapula to the axial skeleton; its stability is provided by the surrounding musculature.…”

Section: Anatomymentioning

confidence: 99%

“…Resection of the symptomatic scapulothoracic bursa has also been reported using an arthroscopic technique. 12 , 20 , 31 , 38 , 41 , 58 Matthews et al 41 described a technique in which a patient is placed in either the prone or lateral decubitus position with the free arm placed behind the back in the surgical “chicken wing” position. Portals are placed at least 2 cm medial to the vertebral border of the scapula to prevent injury to the dorsal scapular nerve ( Figure 6 ).…”

Section: Operative Managementmentioning

confidence: 99%

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Clinical Management of Scapulothoracic Bursitis and the Snapping Scapula

Conduah

Baker

2010

Sports Health: A Multidisciplinary Approach

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Context:Symptomatic scapulothoracic bursitis and crepitus are disorders of the scapulothoracic articulation that are often poorly understood. They can be a source of persistent pain and dysfunction in the active overhead throwing athlete. It is important to distinguish between scapulothoracic bursitis and scapulothoracic crepitus. Scapulothoracic bursitis refers to inflammation of the bursae secondary to trauma or overuse owing to sports activities or work. Scapulothoracic crepitus is defined by a grinding, popping, or thumping sound or sensation secondary to abnormal scapulothoracic motion.Evidence Acquisition:This article presents the causes, diagnosis, and management of these shoulder conditions in a manner that is relevant to clinicians, athletic trainers, and physical therapists, and it reviews relevant studies to determine the consensus on nonoperative treatment, as well as open and arthroscopic surgical treatment.Results:The causes of scapulothoracic bursitis and crepitus include direct or indirect trauma, overuse syndromes, glenohumeral joint dysfunction, osseous abnormalities, muscle atrophy or fibrosis, and idiopathic causes. Scapulothoracic bursitis and crepitus remain primarily clinical diagnoses; however, imaging studies or local injections may also be helpful. The initial treatment of scapulothoracic bursitis and scapulothoracic crepitus should be nonoperative. Surgical treatment options include partial scapulectomy or resection of the superomedial angle of the scapula, open bursal resection, and arthroscopic bursectomy. Despite the lack of agreement among orthopaedic surgeons concerning which procedure is best for treating symptomatic scapulothoracic bursitis and crepitus, most reports have demonstrated good to excellent outcomes in a significantly high percentage of patients.Conclusion:Clearly, the best initial approach to these conditions is a nonoperative treatment plan that combines scapular strengthening, postural reeducation, and core strength endurance. The addition of local modalities, nonsteroidal anti- inflammatory drugs, and localized injections may also be helpful. If an appropriate trial of nonoperative management proves unsuccessful, surgical correction can produce good results.

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Scapulothoracic Endoscopy: Anatomic, Clinical, and Surgical Perspectives

Cited by 2 publications

References 4 publications

The effectiveness of extracorporeal shock wave therapy in snapping scapula

The effectiveness of extracorporeal shock wave therapy in snapping scapula

Clinical Management of Scapulothoracic Bursitis and the Snapping Scapula

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