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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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History:
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Muscles of the Shoulder01:23

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
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Acute Coronary Syndrome V: Nursing Management01:26

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Pericarditis IV: Nursing Management01:25

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Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
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Muscles that Move the Arm01:31

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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Related Experiment Video

Updated: Mar 19, 2026

The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair
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Management of Snapping Scapula Syndrome.

Mark L Wang, Andrew J Miller, Brooke L Ballard

    Orthopedics
    |June 10, 2016
    PubMed
    Summary

    Snapping scapula syndrome, a rare condition affecting the shoulder blade articulation, can be treated with surgery for persistent cases. This report details the successful open excision of a large scapulothoracic bursal lesion in a weightlifter, resolving his chronic pain.

    Area of Science:

    • Orthopedics
    • Sports Medicine
    • Musculoskeletal Disorders

    Background:

    • Snapping scapula syndrome arises from disrupted scapulothoracic articulation, often due to dyskinesis, bursitis, or lesions.
    • Nonoperative treatments are common, but recalcitrant cases may require surgical intervention.

    Observation:

    • A 34-year-old weightlifter presented with a year of painful, audible crepitus in the posterior shoulder, exacerbated by overhead activity.
    • Previous treatments, including exercises and corticosteroid injection, provided minimal relief.
    • Imaging revealed a large polylobulated fluid collection causing scapulothoracic distention without osseous abnormalities.

    Findings:

    • The patient underwent open excision of a large scapulothoracic bursal lesion, guided by CT and dye localization.

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  • Complete removal of bursal tissue was prioritized to minimize recurrence.
  • The patient experienced an unremarkable recovery over 8 weeks and returned to full activities with symptom resolution.

    • Implications:

    • This case highlights the successful management of chronic and recalcitrant snapping scapula syndrome.
    • It presents the largest described scapulothoracic bursal lesion excision in the literature.
    • Open excision can be an effective treatment for large, complex scapulothoracic bursal lesions causing snapping scapula syndrome.