Snapping Scapula Syndrome - Everything You Need To Know - Nabil Ebraheim скачать в хорошем качестве

Snapping Scapula Syndrome - Everything You Need To Know - Nabil Ebraheim

Educational video describing the condition known as snapping scapula syndrome and its treatment methods. What is snapping scapula syndrome? Snapping scapula syndrome is a condition causing painful grinding, clicking or snapping of the shoulder blade. Snapping scapula occurs at the scapulothoracic joint and is different from other shoulder related problems. Over 1/3 of the shoulder movement occurs between the scapula and the thoracic cage. The shoulder blade serves as an anchor for the subscapularis and serratus anterior muscles. These muscles as well as the bursa provide for smooth movement of the shoulder. With muscle weakness or inactivity, the scapula may rub on the rib bones during movement. Snapping scapula can be caused by repetitive motions that lead to inflammation of the bursa or atrophy of the muscles under the scapula. When the scapula cannot easily glide along the chest wall, the bones rub together and produce characteristic noise sensation, painful clicking and grinding. Snapping scapula can be a secondary symptom to shoulder instability, such as dislocation or nerve disorders which may lead to atrophy and weakened muscles. The patient may develop scarring and fibrosis of the bursa, as well as painful scapular crepitus when moving the shoulder blade. Common causes of snapping scapula syndrome: •Weakness, wasting or atrophy of the scapular stabilizing muscles. •Bursitis •Osteochondroma •Rib or scapular fractures. Differential diagnosis of snapping scapula syndrome •Snapping noise may originate from other areas of the shoulder such as •Biceps tendon subluxation: a condition where the biceps tendon subluxes out of its groove in the humeral head and slips forward casuing a snapping sensation. •Labral tear: condition causing pain often deep in the shoulder that can be associated with a clicking sound during movement of the shoulder. Treatment of snapping scapula includes: Physiotherapy to improve stability and coordination of the scapular muscles. Injection of the bursa •arm is usually held in a position of extension, internal rotatin and adduction with the patient lying prone. •Needle should be placed under the scapular and avoid puncturing the pleura •May need chest x-ray •Needle inserted into the scapulothoracic joint under fluoroscopy with the aid of scapular “Y” view x-ray. •The contour of the scapula projects as the letter Y on the x-ray Surgery is rare for debridment of the bursa or removal of bony lump. Debridment is done either open or arthroscopically.