Arthroscopic Management of Snapping Scapular Syndrome due to Recalcitrant Scapulothoracic Bursitis - A Case Series.

Abstract

Introduction: Snapping scapula syndrome (SSS) is a rare pathological condition characterized by palpable and/or audible crackling sensation during scapulothoracic movements. Scapulothoracic bursitis with or without osseous lesions is commonly associated with this syndrome. The initial management is always non-operative methods with anti-inflammatory medications and physiotherapy modalities. However, if the symptoms persist beyond 3-6 months of non-surgical treatment, it should be categorized as refractory or recalcitrant bursitis and necessitate either open or arthroscopic surgical excision of the lesion.

Case report: We successfully managed five patients with SSS with arthroscopic scapulothoracic bursectomy.

Conclusion: Arthroscopic scapulothoracic bursectomy is a successful surgical intervention for patients with scapulothoracic bursitis who do not respond to the conservative mode of management.