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Association between scapula bony morphology and snapping scapula syndrome
Ulrich J Spiegl1, Maximilian Petri1, Sean W Smith2
1Steadman Philippon Research Institute, Vail, CO, USA; The Steadman Clinic, Vail, CO, USA.
Journal of Shoulder and Elbow Surgery
|February 19, 2015
Summary
Scapular incongruity, specifically anterior angulation of the medial scapula (MSCA), is linked to snapping scapula syndrome (SSS). Concave scapular shape and positive MSCA significantly increase SSS risk, aiding surgical planning.
Area of Science:
- Orthopedic Surgery
- Radiology
- Anatomy
Background:
- Scapular incongruity is a suspected cause of snapping scapula syndrome (SSS).
- Understanding scapular bony morphology's role in SSS is crucial for diagnosis and treatment.
Purpose of the Study:
- To investigate the association between scapular bony morphology, assessed via MRI, and the diagnosis of SSS.
- To determine if specific scapular shapes or angles correlate with SSS.
Main Methods:
- Retrospective case-control study of 26 SSS patients and 19 controls.
- Evaluation of scapular bony morphology on MRI, measuring the medial scapula corpus angle (MSCA).
- Categorization of scapulae as straight, S-shaped, or concave, with inter/intraobserver reliability assessment.
Main Results:
- Concave scapular morphology was exclusively found in SSS patients.
- Significant differences in mean MSCA between SSS (14.4°) and non-SSS (-3.3°) shoulders (P = .001).
- Decreased scapulothoracic distance in SSS patients (14.9 mm vs. 24.0 mm).
Conclusions:
- Anterior angulation of the medial scapula (positive MSCA) is associated with SSS.
- Concave scapula and positive MSCA confer a 12-fold increased risk of SSS.
- MSCA may assist in planning scapular resections for SSS treatment.
Keywords:
Snapping scapula syndromemedial scapula corpus anglepartial scapulectomyscapula bony morphologyMore Related Videos
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