The Journal of Bone and Joint Surgery (American). 2009;91:2251-2262.
doi:10.2106/JBJS.H.01347
© 2009 The Journal of Bone and Joint Surgery, Inc.
Snapping Scapula Syndrome
Meredith A. Lazar, MD1,
Young W. Kwon, MD, PhD1 and
Andrew S. Rokito, MD1
1 Department of Orthopedics, New York University Hospital for Joint Diseases, 301 East 17th Street, 14th Floor, New York, NY 10003. E-mail address for M.A. Lazar: Meredith.Lazar{at}nyumc.org
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Snapping scapula syndrome arises from either a soft-tissue or a skeletal anomaly within the scapulothoracic space that creates a cracking sound during scapulothoracic motion that patients associate with pain.
Nonoperative measures consisting of supervised physical therapy, anti-inflammatory medications, and therapeutic injections are the mainstay of treatment.
Open, arthroscopic, and combined operative approaches have been described for the treatment of refractory cases, with good overall outcomes in many relatively small case series. However, the optimal operative approach has yet to be determined.

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