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Arthroscopic Scapulothoracic Decompression for Snapping Scapula Syndrome.

Michael Saper1, Connor Kasik1, Douglas Dietzel1

  • 1Department of Osteopathic Surgical Specialties, Michigan State University, East Lansing, Michigan, U.S.A.; Department of Orthopaedic Surgery, McLaren Greater Lansing, Lansing, Michigan, U.S.A.

Arthroscopy Techniques
|February 13, 2016
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Summary

Snapping scapula syndrome, a cause of shoulder dysfunction, can be treated with arthroscopic bursectomy and partial scapulectomy. This minimally invasive technique provides excellent visualization and access to the scapulothoracic space for effective surgical decompression.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • Snapping scapula syndrome involves the superomedial scapula, causing shoulder dysfunction.
  • Nonoperative treatments often fail, necessitating surgical intervention.
  • Current surgical options include bursectomy and partial scapulectomy.

Purpose of the Study:

  • To describe a reproducible arthroscopic technique for accessing the scapulothoracic space.
  • To demonstrate the efficacy of arthroscopic decompression and resection for snapping scapula syndrome.

Main Methods:

  • Arthroscopic visualization and access to the scapulothoracic space.
  • Clearing bursal tissue for improved visualization of anatomical structures.
  • Arthroscopic decompression of the scapulothoracic bursa and resection of the superomedial scapula.

Main Results:

  • The described arthroscopic technique allows for simple and reproducible access.
  • Effective visualization and clearing of the bursal tissue are achieved.
  • The procedure facilitates decompression and resection of the superomedial scapula.

Conclusions:

  • Arthroscopic decompression of the scapulothoracic bursa and partial scapulectomy offer a beneficial primary treatment for snapping scapula syndrome.
  • This technique provides optimal visualization and access to the affected area.
  • Minimally invasive arthroscopic surgery is a viable option for patients with refractory snapping scapula syndrome.