Full-House Arthroscopic Treatment of Snapping Scapula Syndrome: Bursectomy, Levator Scapulae Release, and Partial Scapulectomy.

Abstract

The scapulothoracic joint is unique as the result of its configuration, setting, and functioning. The concave scapula must glide smoothly on the convex thoracic cage to provide a functional foundation for glenohumeral motion. Alterations of this subtle relationship the between concave scapula and convex thoracic cage may trigger snapping scapula syndrome. This pathology is commonly misdiagnosed and underreported. The main treatment is conservative in nature but in situations in which it fails after a long period, surgery is an option, specifically anarthroscopic technique. The gold standard of arthroscopic treatment is based on bursectomy and partial scapulectomy. The levator scapulae is involved in the painful pathophysiology of the snapping scapula syndrome, so its release is a critical step in the setting of the arthroscopic treatment. On this basis, a "full-house" arthroscopic treatment must include bursectomy, release of the levator scapulae, and partial scapulectomy.