Scapulothoracic pathology: review of anatomy, pathophysiology, imaging findings, and an approach to management

Skeletal Radiology
Walter OsiasEric A White

Abstract

Symptomatic scapulothoracic disorders, including scapulothoracic crepitus and scapulothoracic bursitis are uncommon disorders involving the scapulothoracic articulation that have the potential to cause significant patient morbidity. Scapulothoracic crepitus is the presence of a grinding or popping sound with movement of the scapula that may or may not be symptomatic, while scapulothoracic bursitis refers to inflammation of bursa within the scapulothoracic articulation. Both entities may occur either concomitantly or independently. Nonetheless, the constellation of symptoms manifested by both entities has been referred to as the snapping scapula syndrome. Various causes of scapulothoracic crepitus include bursitis, variable scapular morphology, post-surgical or post-traumatic changes, osseous and soft tissue masses, scapular dyskinesis, and postural defects. Imaging is an important adjunct to the physical examination for accurate diagnosis and appropriate treatment management. Non-operative management such as physical therapy and local injection can be effective for symptoms secondary to scapular dyskinesis or benign, non-osseous lesions. Surgical treatment is utilized for osseous lesions, or if non-operative management for burs...Continue Reading

References

Jan 1, 1990·Skeletal Radiology·M E Shogry, P Armstrong
Nov 1, 1989·Archives of Surgery·V E Wood, J M Verska
Feb 1, 1995·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·L J RulandL S Matthews
Mar 1, 1997·Journal of Shoulder and Elbow Surgery·C A JacobiJ Zieren
May 1, 1997·Archives of Physical Medicine and Rehabilitation·H L CarlsonD C Stewart
Oct 1, 1998·The Journal of the American Academy of Orthopaedic Surgeons·J E KuhnR J Hawkins
Mar 17, 1999·Clinical Orthopaedics and Related Research·G R WilliamsJ P Iannotti
Dec 10, 1999·Southern Medical Journal·P MichailE Bastounis
Jan 10, 2001·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·C M SofkaR S Adler
Mar 9, 2002·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Martin TorrianiElianeMariaIngrid Amstalden
Sep 1, 1962·Southern Medical Journal·L T FORD, R H RAMSEY
Oct 24, 2003·AJR. American Journal of Roentgenology·Juerg HodlerKen Yamaguchi
Jan 22, 2004·Journal of Shoulder and Elbow Surgery·Kenji TakaharaTadaatsu Miyasaka
Apr 20, 2004·Journal of Computer Assisted Tomography·Takeshi HiguchiTetsuro Morita
May 6, 2004·Upsala Journal of Medical Sciences·Ogura KenShoichi Kokubun
Jul 3, 2004·Clinical Orthopaedics and Related Research·Janne T LehtinenJon J P Warner
Aug 18, 2004·The American Journal of Sports Medicine·Robert C ManskeMark L Stovak
Oct 27, 2004·AJR. American Journal of Roentgenology·Akira FujikawaYutaka Naoi
Sep 24, 2005·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Chung-Cheng HuangTze-Yu Lee
Jan 18, 2007·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·K MacDonaldI Parkin
Feb 7, 2007·World Journal of Surgical Oncology·Adrien DaigelerCornelius Kuhnen
Dec 21, 2007·Seminars in Musculoskeletal Radiology·Melissa M JoinesJohn P DiFiori
Jul 30, 2008·Current Problems in Diagnostic Radiology·Jose Luis del Cura
Aug 30, 2008·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Gregory R Saboeiro, Carolyn M Sofka
Nov 10, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Michael KuhneMatthew T Provencher
Aug 24, 2010·AJR. American Journal of Roentgenology·Catherine N PetchprapaMichael P Recht
Sep 3, 2010·Surgical and Radiologic Anatomy : SRA·Anjali AggarwalDaisy Sahni
Jun 10, 2011·International Journal of Shoulder Surgery·Pauline H GoRonald S Chamberlain
Oct 4, 2011·Journal of Clinical Imaging Science·Zameer HirjiHema N Choudur
Jun 5, 2012·The Journal of the American Academy of Orthopaedic Surgeons·W Benjamin KiblerTrevor Wilkes
Aug 10, 2012·Surgical and Radiologic Anatomy : SRA·Matthew J BoyleCraig M Ball
Mar 1, 2010·Sports Health·Augustine H ConduahChamp L Baker
Oct 20, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Peter J MillettOlivier A van der Meijden
Jan 25, 2013·The Thoracic and Cardiovascular Surgeon·F LococoP Granone
Apr 3, 2013·The Journal of the American Academy of Orthopaedic Surgeons·Trevor Gaskill, Peter J Millett
May 9, 2013·Surgical and Radiologic Anatomy : SRA·Trifon TotlisKonstantinos Natsis
Mar 26, 2014·The American Journal of Sports Medicine·Ryan J WarthPeter J Millett
Feb 19, 2015·Journal of Shoulder and Elbow Surgery·Ulrich J SpieglPeter J Millett
Apr 24, 2015·Medicine·Seung Jun Seol, Seung Hoon Han
Dec 3, 2015·International Journal of Surgery Case Reports·Ezequiel E ZaidenbergMaximiliano Ranalletta
Jan 1, 2016·Journal of Orthopaedics·Jamel B HassounaKhaled Rahal
Mar 2, 2017·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Sang Yoon KimJong-Seok Lee

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Citations

Nov 26, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·William R WalterRonald S Adler
Mar 11, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Kutsi TuncerHayri Ogul
May 23, 2019·Skeletal Radiology·Mark J KransdorfDaniel I Rosenthal
May 3, 2019·The British Journal of Radiology·Kimia Khalatbari Kani, Felix S Chew
Jun 16, 2018·American Journal of Physical Medicine & Rehabilitation·Kutsi TuncerMecit Kantarci
May 18, 2021·Orthopaedic Journal of Sports Medicine·Gerald Joseph ZengDenny Tjiauw Tjoen Lie
Jun 17, 2021·Clinical Nuclear Medicine·Connor Crowley, William J Rieter

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