Snapping scapula syndrome: arthroscopic surgical treatment

This is a retrospective study of 11 patients undergoing scapulothoracic arthroscopy for the treatment of snapping scapula syndrome. The study included patients with clinical diagnosis of snapping scapula syndrome who did not show pain improvement after at least six months of physical therapy. Patients were assessed using the DASH, UCLA, visual analogue pain assessment (VAS), and Short-Form 36 (SF36) scores.

Results:

The mean age at surgery was 38.4 years (21-48). The mean duration of symptoms before surgery was 2.8 years (range 6 months to 6 years). The mean follow-up duration was 12 months (range: 6.4-28). The mean postoperative scores were: DASH, 7.8 points; VAS, 1.5 points, being ten cases (90%) of mild pain and one case (10%) of moderate pain; UCLA, 32; and SF-36, 79.47.

Conclusions:

The arthroscopic approach for the treatment of snapping scapula syndrome presents excellent functional results.

Keywords:
Bursitis; Arthroscopy; Shoulder pain; Scapula

	DASH	UCLA	VAS
Preoperative period	42.1 ± 19.8 (11.6-75.8)	23.3 ± 3.3 (18-28)	7.5 ± 1.4 (5-10)
Postoperative period	7.8 ± 9.2 (0.83-23.3)	32 ± 2.7 (27-35)	1.5 ± 1.4 (0-5)
p-Value	<0.01	<0.01	<0.01

	Functional capacity	Limitation due to physical aspects	Pain	General health	Vitality	Social aspects	Limitations due to emotional aspects	Mental health
Preoperative	60 ± 23.1 (25-95)	20.5 ± 31.3 (0-75)	39.4 ± 28.1 (0-90)	50 ± 20.2 (15-80)	65.5 ± 20.2 (35-100)	68.2 ± 23.3 (12.5-87.5)	24.2 ± 36.8 (0-100)	69.1 ± 14.3 (40-88)
Postoperative	79.5 ± 20.3 (35-100)	88.6 ± 25.9 (25-100)	76.2 ± 13.3 (52-90)	63.8 ± 14.1 (37-80)	82.7 ± 12.5 (55-100)	85.2 ± 10.9 (62.5-100)	54.5 ± 52.2 (0-100)	80 ± 11.2 (56-100)
p-Value	0.02	<0.01	<0.01	0.04	0.03	0.01	0.16	0.02

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] *Corresponding author. E-mail: dr.nascimento@icloud.com (A.T. Nascimento).

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Snapping scapula syndrome: arthroscopic surgical treatment☆ ☆ Study conducted at Hospital Orthoservice, São José dos Campos, SP, Brazil.

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Snapping scapula syndrome: arthroscopic surgical treatment^☆ ☆ Study conducted at Hospital Orthoservice, São José dos Campos, SP, Brazil.