snapping scapula syndrome

Conservative management is the first-line therapy and is … 2010;19:23-6. Snapping scapula syndrome occurs when the muscles located underneath the shoulder blade become weak, leading to impingement of the scapula and rib cage. Your doctor may order an X-ray to see between the scapula and rib cage. By feeling the tissues around the scapula, your doctor can find out if the bursa is tender or thickened from inflammation. Have something you want to discuss, tips to share or a question to ask. Edema of the musculature between the osteochondroma and the rib cage, suggesting friction. What is the snapping scapula syndrome? The tissue caught between these two structures could be a bursa, tendon, or muscle. For patients undergoing nonsurgical treatment, physical or occupational therapy may be part of the rehabilitation plan. These conditions represent a spectrum of disorders characterized by pain with or without mechanical crepitus. B: Axial CT scan, with a soft-tissue window setting, showing denervation with atrophy and fatty replacement of the serratus anterior muscle (arrow), showing the contralateral side for comparison. [ Links ], 6 Scibek JS, Carcia CR. Repeat 3 times. This is a problem that involves the scapula. Passive shoulder movements can begin soon after surgery. Certain motions of the shoulder done over and over again, such as the movements of pitching baseballs or hanging wallpaper, can cause the tissues of the joint to become inflamed. It often presents with pain around the posterior shoulder, weakness in the arm, ‘winging’ of the scapular and difficulty performing overhead tasks. There was no evidence of extrinsic compression of the long thoracic nerve. Snapping scapula syndrome is defined as an audible or palpable clicking of the scapula during movements of the scapulothoracic joint . Any irregularity in the relatively narrow space between the shoulder blade and the chest wall may lead to abnormal painful rubbing of the scapula on the chest wall. Except to the people who have it.) Your doctor may listen with a stethoscope while you move your shoulder and scapula. The patient had been running on a regular basis. Snapping scapula syndrome: arthroscopic surgical treatment. Snapping scapula syndrome: current concepts review in conservative and surgical treatment. CT of the scapula, in coronal and axial slices (. The most common mechanisms involve imbalances of the intrinsic musculature, with inflexibility or inhibition of normal muscle activation(9). But there should be no active exercises for about eight weeks, to make sure the muscles are firmly healed where they were sewn back into the drill holes in the scapula. Scapulothoracic bursitis can occur after a single traumatic insult, as a result of repetitive movements of the scapulothoracic joint, or as a result of scapular dyskinesia. There was no evidence of extrinsic compression of the long thoracic nerve. The scapula glides over the chest wall with the majority of shoulder movements. The symptoms can often be reproduced by movement of the shoulder blades. These grinding sensations are also called crepitus. Snapping scapula syndrome is fairly rare. The patient had been running on a regular basis. It passes in front of the scapula, wraps around the chest wall, and connects to the ribs on the front part of the chest. CT of the scapula, in coronal and axial slices (A and B, respectively), demonstrates pedunculated osteochondroma in the anterior superior aspect of the scapula, in close proximity to the posterior border of the first and second ribs on the left (arrow in A). It typically affects young, active patients, who often report a history of pain, resulting from overuse, during rapid shoulder movements or during sports activities . The patient had been swimming, walking, and cycling on a regular basis. Scapula … Snapping scapula syndrome. After taking a detailed medical history, the doctor will manipulate the arm to check alignment, assess pain and listen for any snapping or popping sounds. In other words, for every two degrees of movement of the humerus, the scapula moves one degree(6), as depicted in Figure 4. Sagittal MRI of the left scapula, with fat-saturated T1- and T2-weighted sequences (, An 87-year-old male patient complaining of bulging of the posterolateral thoracic wall. The pain and symptoms come from structures rubbing between the shoulder blade and rib cage. The control and proper positioning of the scapula are fundamental for the correct functioning of the glenohumeral joint. Doctors usually recommend surgery only if nonsurgical treatments have failed. In the most common surgery for snapping scapula, the surgeon takes out a small piece of the upper corner of the scapula nearest to the spine. Snapping scapula syndrome is often incorrectly diagnosed, due to its somewhat enigmatic origin. It is characterized by painful scapular motion with associated crepitus during scapulothoracic motion, with or without a clear history of injury or trauma.20,21 Snapping scapula syndrome has also been referred to as… The superomedial angle is measured on the anterior surface of the scapula, with three anatomical reference points (Figures 5 and 6): the superior angle, the spine, and the inferior angle. The Luschka tubercle. Frequentemente percebida em atividades físicas ou profissionais, as suas causas podem ter origem na alteração morfológica da escápula e gradil costal, no desequilíbrio de forças da musculatura periescapular (discinesia) ou ainda em tumores ósseos ou de partes moles. It is also referred to as washboard syndrome. 2013; 21(4):… These conditions represent a spectrum of disorders characterized by pain with or without mechanical crepitus. The scapulothoracic joint is located where the shoulder blade (also called the scapula) glides along the chest wall (the thorax).When movement of this joint causes feelings or sounds of grating, grinding, popping, or thumping, doctors call it snapping scapula syndrome.. A Patient’s Guide to Snapping Scapula Syndrome Introduction. Scapulothoracic bursitis and snapping scapula syndrome are rare diagnoses that contribute to considerable morbidity in some patients. Elastofibromas are believed to occur in response to repetitive microtrauma caused by friction between the scapula and the chest wall. Diagnosing snapping scapula syndrome. Most doctors prescribe nonsurgical treatments for patients with snapping scapula. Axial T2-weighted fat-saturated MRI scan of the scapulae showing denervation and edema of the serratus anterior muscle (arrow), without significant atrophy. That's the bone we call the "shoulder blade." The scapula glides over the chest wall with the majority of shoulder movements. 2009;91:2251-62. http://orcid.org/0000-0002-5210-3605, Laercio Alberto Rosemberg1  Snapping Scapula Syndrome Introduction. The term “scapular snapping syndrome” refers to Muscles Ligaments Tendons J. Edema of the musculature between the osteochondroma and the rib cage, suggesting friction. The shoulder joint itself is called the glenohumeral joint. It often presents with pain around the posterior shoulder, weakness in the arm, ‘winging’ of the scapular and difficulty performing overhead tasks. Contrast-enhanced axial MRI of the left scapula, with fat-saturated T1- and T2-weighted sequences (A and B, respectively), showing fluid distention and parietal enhancement of the infraserratus bursa (arrows) with a fluid-fluid level (arrow in A), due to a bone projection in the inferomedial angle of the scapula, as shown on a CT scan (arrow in C). Figure 10 A 46-year-old female patient, in follow-up for osteochondroma for 8 years and presenting with a 7-month history of constant pain. Often, these sensations cause no pain. Shoulder Elbow. Then the surgeon uses a special tool to remove the corner of the scapula. A Patient’s Guide to Snapping Scapula Syndrome Introduction. A 69-year-old male patient with a 90-day history of bulging, snapping, and pain in the left scapular region. Figure 5 Schematic representation of the costal surface of the right scapula, showing the ABC measurement of the superomedial angle. Sequelae of fractures of the scapula and rib cage. Surgery may be needed if the problem is caused by a bone abnormality. The tissues that attach muscles to the upper part of the scapula are carefully detached and moved out of the way. Sometimes the joint pops or thumps during movement. The disorder ranges from a mild inconvenience for some to a truly disabling condition for others. The scapulothoracic joint is located where the shoulder blade (also called the scapula) glides along the chest wall (the thorax).When movement of this joint causes feelings or sounds of grating, grinding, popping, or thumping, doctors call it snapping scapula syndrome.. The intermediate layer consists of the major rhomboid, minor rhomboid, and levator scapulae muscles. Snapping scapula syndrome manifests as an audible or palpable crackling during the sliding movements of the scapula over the rib cage, often perceived during physical or professional activities. Contrast-enhanced axial MRI of the left scapula, with fat-saturated T1- and T2-weighted sequences (. Snapping scapula syndrome is a popping, clicking, grinding or snapping of the bones and tissues in the shoulder blade when lifting or moving the arm. The deep layer consists of the serratus anterior and subscapularis muscles, containing the infraserratus bursa, located between the serratus anterior muscle and the rib cage, and the supraserratus bursa, located between the serratus anterior and subscapularis muscles(3). Any irregularity in the relatively narrow space between the shoulder blade and the chest wall may lead to abnormal painful rubbing of the scapula on the chest wall. There is an arc-of-motion pattern between the glenohumeral joint and the scapulothoracic joint, known as the scapulohumeral rhythm, which has a 2:1 ratio. [ Links ], 9 Roche SJ, Funk L, Sciascia A, et al.. Scapular dyskinesis: the surgeon's perspective. [ Links ], 4 Kuhne M, Boniquit N, Ghodadra N, et al. Snapping scapula syndrome, or otherwise known as scapulothoracic crepitus, is a disorder in which scapulothoracic motion produces a snapping, grinding, thumping or popping sensation (1, 2). Snapping scapula syndrome can be a painful shoulder condition for many patients. When it happens, the soft tissues between the scapula and the chest wall are thick, irritated, or inflamed. This type of bursitis is most common in the upper corner of the scapula nearest the spine. A 9-year-old female patient with a 1-month history of elevation of the right scapula, unrelated to pain, trauma, or surgery. Snapping scapula syndrome is also known as scapulothoracic bursitis. Orthopedics. Removing a bursa is called bursectomy. Snapping scapula syndrome is a condition that involves the popping, grating, grinding, or "snapping" of bones and tissue in the scapula area when lifting and moving the arm. This means the scapula bumps or rubs on the rib bones during movement. It can be the cause or consequence of many forms of shoulder pain and dysfunction. The shoulder joint itself is called the glenohumeral joint. Axial T1-weighted MRI of the left scapula, showing an elastofibroma deep within the serratus anterior muscle, interposed between the rib cage and the inferior angle of the scapula (arrow). Rev Bras Reumatol. The scapula (shoulder blade) is a broad triangular bone attached to the body by strong muscles. A typical presentation is that of chronic periscapular pain with or without mechanical crepitus. X-ray showing broad-based exostosis in the lower third of the scapular body (subscapular fossa, arrow). Arthroscopy. A person can have bursitis in the joint without any grinding or popping. Het knappen kan pijnlijk en soms zelfs hoorbaar zijn. Figure 13 A 69-year-old male patient with a 90-day history of bulging, snapping, and pain in the left scapular region. An elastofibroma is a benign soft tissue tumor with slow growth and a prevalence rate of up to 24% in the elderly, being most common among women between 55 and 70 years of age. 2A.C.Camargo Cancer Center, São Paulo, SP, Brazil. A large amount of movement in shoulder, over one-third, involves these two body parts. Snapping Scapula Syndrome: Diagnosis and Management Abstract Scapulothoracic bursitis and snapping scapula syndrome are rare diagnoses that contribute to considerable morbidity in some patients. 14.1 Schematic demonstrating scapula anatomy in the axial plane. MRI of the left scapula, with a sagittal slice and a fat-saturated T2-weighted sequence, showing osteochondroma in the superomedial angle of the scapula, with a thin cartilaginous layer, invading the space between the first and second ribs (arrow). [ Links ], 8 Mozes G, Bickels J, Ovadia D, et al. http://orcid.org/0000-0003-4395-1159. which leads you to the G56.8(0,1,2,3) Snapping scapula syndrome is fairly rare. A typical presentation is that of chronic periscapular pain with or without mechanical crepitus. The tissue caught between these two structures could be a bursa, tendon, or muscle. Such tumors are considered alterations of the growth plate, specifically its failure to increase in size during skeletal maturation(11). The inflammation is usually caused by repetitive movements. They are commonly identified in young, active patients who perform repetitive overhead activities. If pain and inflammation don't go away with these treatments, your doctor may recommend one or two injections of cortisone into the bursa. 1 Morgado S, Antunes F. Síndrome de escápula crepitante. 1Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. Osseous causes of snapping scapula syndrome are rare. Snapping scapula syndrome is defined as an audible or palpable clicking of the scapula during movements of the scapulothoracic joint (1). [ Links ], 11 Jindal M. Delayed presentation of osteochondroma at superior angle of scapula - a case report. Hospital Israelita Albert Einstein - Departamento de Radiologia e Diagnóstico por Imagem. Figure 2 Schematic representation of the biomechanical vector of the musculature involved in scapular movement. L’articulation scapulo-thoracique est située à l’endroit où l’omoplate glisse le long de la paroi thoracique. Two major bursae, the supraserratus and infraserratus bursae, the source of pathology in the majority of cases in the scapulothoracic bursitis, can be identified. ANATOMICAL VARIATIONS AND DISEASES THAT CAN CAUSE THE SYNDROME, Superomedial angle of the scapula and anatomical variations. Two major bursae, the supraserratus and infraserratus bursae, the source of pathology in the majority of cases in the scapulothoracic bursitis, can be identified. Scapulothoracic bursitis, also called snapping scapula syndrome, is a condition of the shoulder that involves the shoulder blade (scapula) and the ribcage. (Reproduced with permission from Gaskill T, Millett PJ, Snapping Scapula Syndrome: Diagnosis and Management. The patient had been swimming, walking, and cycling on a regular basis. He or she will check the alignment of the scapula. The Luschka tubercle is a hook-shaped bony protuberance, located at the upper medial border of the scapula, which can reduce the space between the scapula and the rib cage and be a predisposing factor for scapular snapping(7). It typically affects young, active patients (3). Bones can be malformed from birth, or … World J Orthop. [ Links ], 2 Merolla G, Cerciello S, Paladini P, et al. Snapping Scapula Syndrome – Non-surgical options Snapping Scapula Syndrome. The scapula is a flat, triangular bone that lies between the second and seventh ribs. [ Links ], 7 Aggarwal A, Wahee P, Harjeet, et al. The sequelae of fractures of the scapula and rib cage can cause bone deformities. What parts of the body are involved in this condition? Journal from AAOS The snapping scapula syndrome is caused by either osseous lesions or scapulothoracic bursitis and can be difficult to recognize and treat. Then the ends of the upper scapular muscles are sewn back onto the spine of the scapula, and the incision is closed up. Snapping scapula syndrome is fairly rare. Some patients benefit by working with a physical or occupational therapist. The study included patients with clinical diagnosis of snapping scapula syndrome who did not show pain improvement … Snapping Scapula syndrome is a snapping, grinding, or popping sensation or sound with scapulothoracic movement. It can also cause neurovascular compression, fractures, inflammation of the bursa, or malignant transformation(11) (Figures 10-12). Scapular dyskinesia, a common clinical finding, is defined as abnormal movement, positioning, or function of the scapula during shoulder movement. On CT (B), the formation presents soft-tissue density and fibrofatty striae, with a well-defined location between the costal grating and the ventral portion of the anterior serratus muscle, at the subscapular and infrascapular level, consistent with dorsal elastofibroma. Regardless of the cause of dyskinesia, the final result in most cases is a scapula in pronation, which is not conducive to optimal shoulder function and results in subacromial space reduction with symptoms of impingement(9). Causes. Common symptoms include: Shoulder tenderness with restriction of movement Grinding, grating and snapping sensation Swelling Pain during overhead activities (5) Snapping scapula syndrome is a condition that involves the popping, grating, grinding, or “snapping” of bones and tissue in the scapula area when lifting and moving the arm. The scapulothoracic joint is located where the shoulder blade (also called the scapula) glides along the chest wall (the thorax). Figure 1 Schematic representation of the musculature and bursae involved in snapping scapula syndrome. Snapping scapula syndrome (SSS) is a rare diagnosis but one that can cause severe morbidity. The shoulder is made up of three bones: the humerus (upper arm bone), the clavicle (collarbone), and the scapula (shoulder blade). Snapping scapula syndrome is a rare condition caused by the disruption of the gliding articulation between the anterior scapula and the posterior chest wall. One of them, called the subscapularis muscle, attaches over the front of the scapula where it faces the chest wall. Ce syndrome est rare. February 23, 2018. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited, Av. Figure 3 Schematic representation of the movement of the scapula, showing, from left to right, abduction/adduction, rotation, and upward/downward movements. Snapping Scapula Syndrome, also known as scapulocostal syndrome or scapulothoracic syndrome Go to the index and look up syndrome and "Scapulocostal" is under the term with " Mononeuropathy, upper limb, specified site NEC" next to it. Snapping scapula is a condition that causes symptoms of crunching or grinding underneath the shoulder blade. MRI of the left scapula, with a sagittal slice and a fat-saturated T2-weighted sequence, showing osteochondroma in the superomedial angle of the scapula, with a thin cartilaginous layer, invading the space between the first and second ribs (arrow). Snapping Scapula Syndrome. Introduction Snapping scapula syndrome is a condition that involves the popping, grating, grinding, or "snapping" of bones and tissue around the scapula area when lifting and moving the arm. Figure 14 A 55-year-old male patient with increased volume in the left scapular region. These types of treatments are generally successful, especially when the problem is coming from soft tissues. The nodal point in the overview of the syndrome is that cr … Snapping scapula syndrome can also happen if the bones of the shoulder blade or rib cage grate over one another. The scapulothoracic joint is cushioned by the serratus anterior and subscapularis muscles, as well as by the bursae(7). It is a condition where an individual feels the snapping, popping, grinding, and grating of the bones and tissue in the shoulder area when lifting objects or moving his/her arm. When a fractured rib or scapula isn't lined up just right, it can cause a bumpy ridge that produces the characteristic grind or snap as the scapula moves over the chest wall. http://orcid.org/0000-0002-7107-2621, Wagner Santana Cerqueira2  Your surgeon will probably recommend that you work with a physical or occupational therapist during your rehabilitation. The snapping scapula, also called "washboard syndrome" is a controversial condition attributed to bony and soft tissue abnormalities. Snapping scapula syndrome is fairly rare. Scapulothoracic Creptius, aka Snapping Scapula Snapping Scapula syndrome is a snapping, grinding, or popping sensation or sound with scapulothoracic movement. An X-ray image can show abnormalities in the bone, such as a rib or scapular fracture. Snapping scapula is a condition that causes symptoms of crunching or grinding underneath the shoulder blade. It forms the foundation for movements of … The purpose of this review is to discuss the anatomy of the scapulothoracic articulation with an emphasis on the pathology associated with snapping scapula syndrome. Grating, Popping and Snapping sound can be heard and felt … 2011;33:135-40. http://orcid.org/0000-0002-6672-6045, Adham do Amaral e Castro1  If bursitis is suspected, a magnetic resonance imaging (MRI) may be used to locate the bursa and see how big it is. Schematic representation of the musculature and bursae involved in snapping scapula syndrome. Prevalence of scapular dyskinesis in overhead and nonoverhead athletes: a systematic review. 1999;22:1029-33. A bursa sits between the two muscles of the scapula. A bursa is a fluid-filled sac that cushions body tissues from friction. Schematic representation of the costal surface of the right scapula, showing the ABC measurement of the superomedial angle. Rest and ice also help reduce inflammation and ease pain. Although snapping scapula syndrome is rare, it can cause severe pain and functional limitation. Axial T1-weighted MRI of the left scapula, showing an elastofibroma deep within the serratus anterior muscle, interposed between the rib cage and the inferior angle of the scapula (arrow). Snapping Scapula Syndrome, also known as scapulocostal syndrome or scapulothoracic syndrome, is described by a “grating, grinding, popping or snapping sensation of the scapula onto the back side of the ribs or thoracic area of the spine” (Hauser).Disruption of the normal scapulothoracic mechanics causes this problem. Grinding and snapping can also happen if there are any abnormal curves, bumps, or ledges on the upper edge of the scapula closer to the center of the back. The articulation between the scapula and the rib cage is one of the most incongruous in the human body, because it does not have true joint structures but rather is surrounded by a complex of muscles, which is divided into three layers: superficial, intermediate, and deep. Variable osseous anatomy of costal surface of scapula and its implications in relation to snapping scapula syndrome. It can start when the tissues between the scapula and shoulder blade thicken from inflammation. The nodal point in the overview of the syndrome is that cr … The sound is made by some soft tissue rubbing between the scapula and the thoracic wall. Instructions: Position your scapula in a Posterior tilt and Retraction. Définition du snapping scapula . Related Document: A Patient's Guide to Shoulder Anatomy. METHODS: This is a retrospective study of 11 patients undergoing scapulothoracic arthroscopy for the treatment of snapping scapula syndrome. Scapula has the greatest number of muscles attached to it than any other bone. Small incisions allow the surgeon to insert a small TV camera, called an arthroscope, into the joint. The acromioclavicular joint is associated with shoulder separation. Axial T2-weighted fat-saturated MRI scan of the scapulae showing denervation and edema of the serratus anterior muscle (arrow), without significant atrophy. The surgeon pulls aside the tissues to show the prominent section of the bone, called the spine of the scapula. (Reproduced with permission from Gaskill T, Millett PJ, Snapping Scapula Syndrome: Diagnosis and Management. Although pain with shoulder movement is usually present, some may have no pain. 2016;4:2325967115627608. To learn more about snapping scapula syndrome, please vis... http://drmillett.com/In this diagnostic shoulder video, snapping scapula symptoms are demonstrated. Symptoms may be painful and are often audible. In some instances, the muscles under the scapula shrink (atrophy) from weakness or inactivity, leaving the scapula bone within a closer proximity to the rib cage. Snapping scapula syndrome is a condition causing painful grinding, clicking or snapping of the shoulder blade (Figure 1). Alexandre Tadeu do Nascimento a,b,*, Gustavo Kogake Claudio a. Rev Bras Ortop. Figure 11 A 14-year-old male patient with a 6-month history of bulging and discomfort in the left scapula. The snapping scapula syndrome is characterized by a loud pop or crack when the arm is raised up overhead. The superomedial angle, inferomedial angle, and medial border of the scapula are relatively less protected by underlying muscles and bursae, and the upper medial border and lower pole exhibit wide anatomical variability(4,7). Certain patients may also experience a “bump” from a bone mass on the scapula. Symptoms may be painful and are often audible. Figure 1 illustrates the bursae and their respective anatomical relationships. Avaliação por imagem dos elastofibromas da cintura escapular. Snapping scapula syndrome is a condition causing painful grinding, clicking or snapping of the shoulder blade (Figure 1). The sound is produced by a tactile-acoustic phenomenon of which there exist a multitude of potential causes ranging from bone spurs to muscular weakness to bursitis (2). A strengthening program to bulk up the muscles under the scapula may help pad and cushion the soft tissues between the scapula and rib cage. There are multiple causes of dyskinesia. Scapula is the medical term to name the shoulder blade. (These abnormalities are called Luschka's tubercles.) Snapping scapula syndrome is a rare condition resulting in painful crepitus of the scapulothoracic articulation that may be more common in a military population because of significant upper extremity load-bearing activities. 2013;2013:635628. J Am Acad Orthop Surg. Also known as Snapping Scapula Syndrome, scapulothoracic bursitis occurs when the muscles underneath the scapula weaken and lead to a closer proximity between the scapula and the ribcage at rest and in motion. Symptoms of Snapping Scapula Syndrome Grating Grinding Snapping Scapula is the medical term to name the shoulder blade. The upper and lower portions of the trapezoid are shown in pink, and the central portion is translucent, demarcated by the dotted line. It may also cause pain. Avenida Albert Einstein, 627, Jardim Leonor. Snapping scapula is the descriptive diagnosis for a range of factors that cause painful clicking, grinding, clunking or 'snapping' of the shoulder blade. What causes Snapping Scapula Syndrome? Hold for 30 seconds. [ Links ], 10 Burn MB, McCulloch PC, Lintner DM, et al. Ultrasound (. Unitermos: Escápula; Doenças articulares/diagnóstico por imagem; Ombro. 2009;49:321-7. There was no evidence of extrinsic compression of the long thoracic nerve. Scapulothoracic anatomy and snapping scapula syndrome. To remove a small piece of the scapula, an incision is made just below the bone's top edge. Snapping scapula syndrome manifests as an audible or palpable crackling during the sliding movements of the scapula over the rib cage, often perceived during physical or professional activities. What is snapping scapula syndrome? For example, during a 180° abduction of the arm, 60° are achieved by rotation of the scapula and 120° are achieved by rotation of the humerus. When the scapula cannot easily glide along the chest wall, the bones rub together. Osteochondroma, also known as exostosis, is the most common benign primary bone tumor of the scapula, being solitary in approximately 90% of cases and multiple, in the form of hereditary multiple exostoses, in approximately 10%. Snapping scapula syndrome: pictorial essay, Stefane Cajango de Carvalho1  Neurological causes include paralysis of the long thoracic nerve, paralysis of the eleventh cranial nerve, and cervical radiculopathy(9), as depicted in Figures 8 and 9. A síndrome da escápula em ressalto manifesta-se como uma crepitação audível ou palpável durante os movimentos de deslizamento da escápula sobre o gradil costal. 2012;3:87-94. It can be caused by morphological alteration of the scapula and rib cage, by an imbalance in periscapular musculature forces (dyskinesia), or by neoplasia (bone tumors or soft tissue tumors). The syndrome was understimated for long time and often associated only with specific osseous abnormalities. Improving orthopaedic care, education and research using Internet technologies. Figure 6 A 42-year-old male patient with a 7-year history of intermittent left-sided scapular pain, accompanied by snapping. The use of three-dimensional computed tomography in evaluating snapping scapula syndrome. Perform Shoulder Elevation . The snapping scapula: diagnosis and treatment. With this condition, you have a shoulder blade that catches when you lift or move your arm. Grating, grinding, or snapping may be heard or felt along the edge or undersurface of the scapula as it moves along the chest wall. It is basically a problem of the normal interplay and movement between the anterior (or front) of the scapula …

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