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Management of Snapping Scapula Syndrome
Orthopedics
|June 10, 2016
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.
- 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.
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