What is Scapulothoracic dissociation?
Scapulothoracic dissociation is a rare injury involving separation of scapula from the thorax along with the upper extremity. Majority of the patients have concomitant neurovascular injury and the prognosis is uniformly poor in such cases.
What movements occur at the scapulothoracic joint?
The movements within the scapulothoracic junction are described into three degrees of freedom; elevation-depression, protraction-retraction, external rotation-internal rotation.
How is Scapulothoracic dissociation measured?
This can be quantified by measuring the scapular index, which is the distance from the midline of the spine to the medial border of the scapula of the affected side divided by that of the noninjured side.
What is Scapulothoracic syndrome?
Scapulothoracic bursitis, or snapping scapula syndrome, is caused by weakening of the muscles underneath the scapula, leading to the scapula sitting in close proximity to the ribcage. The shoulder condition causes a grinding, grating, and snapping sensation of the scapula on the back area of the ribcage.
What is Scapulothoracic bursitis?
Scapulothoracic bursitis refers to inflammation of the bursae secondary to trauma or overuse owing to sports activities or work. Scapulothoracic crepitus is defined by a grinding, popping, or thumping sound or sensation secondary to abnormal scapulothoracic motion.
How is Glenopolar angle measured?
Measuring glenopolar angle (GPA) (A) by measuring the angle between the line connecting the upper and lower poles of the glenoid and the line connecting the upper pole of the glenoid with the inferior scapular angle.
What are the two main functions of the Scapulothoracic articulation?
There are 17 muscles that attach to or originate on the scapula (see Table 1 below), and they perform two major roles: (1) to maintain a stable base of support for the humerus and (2) to allow for dynamic positioning of the glenoid fossa during glenohumeral elevation.
What is Scapulothoracic crepitus?
Scapulothoracic crepitus is the production of a grinding or snapping noise with scapulothoracic motion, which may be accompanied by pain. Scapulothoracic bursitis manifests as pain and swelling of the bursae of the scapulothoracic articulation.
What are the symptoms of Scapulothoracic bursitis?
What are the symptoms of Scapulothoracic Bursitis?
- Pain/aches in the shoulder area.
- Grinding, grating and snapping sensation in the shoulder blade.
- A potential lump from a bone growth on the scapula.
- Tissue in the affected area often feels thick.
- Swelling in the shoulder area.
- Shoulder instability.
- Tenderness or stiffness.
What is the treatment for snapping scapula syndrome?
What is the treatment? Snapping scapula syndrome often responds to non-operative treatment, including rest, activity modification, physical therapy, anti-inflammatory pain medications and steroid injections. If these measures fail to bring relief, or if symptoms worsen, surgery may be recommended.
Is Scapulothoracic bursitis common?
It is believed that this condition is the consequence of bursitis (inflammation) underneath the scapula. The bursa is a normal lubricating tissue which acts to allow the scapula to glide with low friction smoothly over the ribs with normal shoulder motion (Fig. 1). This condition is relatively rare.
What bones are involved in Scapulothoracic articulation?
Rather, the scapulothoracic articulation is formed by the convex surface of the posterior thoracic cage and the concave surface of the anterior scapula. The scapula is a flat bone, with the gliding surfaces formed by the subscapularis and the serratus anterior.
What is the role of scapulothoracic joint?
The main function of the scapulothoracic articulation is to center the socket part of the shoulder joint to the ball of the arm during elevation of the arm. It also adds range to the arm when reaching overhead.
How common is Scapulothoracic bursitis?
What does scapular bursitis feel like?
Pain/aches in the shoulder area. Grinding, grating and snapping sensation in the shoulder blade. A potential lump from a bone growth on the scapula. Tissue in the affected area often feels thick.
Does Scapulothoracic bursitis go away?
For most patients, full recovery is usually within 4 months post scapulothoracic bursitis surgery.
Can a chiropractor help with snapping scapula syndrome?
A winged scapula can be treated, fortunately. Chiropractic care and associated therapies can help you get relief from your symptoms, and to strengthen your shoulders to avoid further discomfort.
Is snapping scapula syndrome serious?
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 disorder ranges from a mild inconvenience for some to a truly disabling condition for others. Symptoms may be painful and are often audible.
How do you get Scapulothoracic bursitis?
The causes of scapulothoracic bursitis and crepitus include direct or indirect trauma, overuse syndromes, glenohumeral joint dysfunction, osseous abnormalities, muscle atrophy or fibrosis, and idiopathic causes.
What are the muscles of the scapulothoracic joint?
The scapulothoracic “joint” is made up of the scapula (shoulder blade) and its articulation with the ribcage. In between these structures are 2 muscles, namely the subscapularis (aka one of the rotator cuff muscles) and the serratus anterior.
What can you do for Scapulothoracic bursitis?
The initial treatment of scapulothoracic bursitis and scapulothoracic crepitus should be nonoperative. Surgical treatment options include partial scapulectomy or resection of the superomedial angle of the scapula, open bursal resection, and arthroscopic bursectomy.
Is massage good for snapping scapula?
Remedial massage can assess the presence and severity of a ‘winged scapula(s)’ and work on releasing the tight tissues which are contributing to the forward pull on the shoulder girdle. With these structures released and relaxed the Remedial Massage Therapist can then mobilise the joints to encourage better alignment.
Can you fix snapping scapula syndrome?
Snapping scapula syndrome often responds to non-operative treatment, including rest, activity modification, physical therapy, anti-inflammatory pain medications and steroid injections. If these measures fail to bring relief, or if symptoms worsen, surgery may be recommended.