Surgical Management of Refractory Scapulothoracic Bursitis

Scapulothoracic Bursitis and Snapping Scapula Syndrome

“…The scapulothoracic articulation is unique in that it does not rely upon hyaline cartilage or synovium to achieve smooth motion; rather, the scapula glides over muscle layers with the aid of interposed bursal tissue. Inflammation of this bursal tissue can occur as a result of an acute traumatic event 3,46 or in the setting of chronic overuse especially in those who are anatomically predisposed to bursal irritation. 46,74 In the majority of cases, bursitis and/or snapping is generally thought to result from abnormal motions between the scapula and posterior chest wall derived from abnormal scapular kinematics with or without anomalous anatomy.…”

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

“…The current authors' case is thought primarily related with left 6 th rib osteochondroma, and caused snapping scapula complicating subscapular soft tissue pseudotumor. [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.…”

“…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.…”

Arthroscopic Posterior Shoulder Burscoscopy and Superior Medial Angle Resection

“…The patient with a symptomatic snapping scapula often has a history of a traumatic event or a repetitive upper extremity activity. 6,11,[34][35][36] The traumatic event may involve a protraction or retraction movement of the scapula, a direct blow to the scapula, fracture of the scapula, or fracture of the underlying ribcage. Athletes participating in repetitive overhead activities such as professional baseball pitchers have been reported to have snapping scapula.…”