Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Snapping Scapula with Congenital Bilateral Elbow Fusion

선천성 양측성 주관절 유합에 동반된 발음성 견갑골 - 증례 보고 -

  • Choi Chang-Hyuk (Department of Orthopaedic Surgery, School of Medicine, Catholic University of Taegu) ;
  • Koh Sang-Bong (Department of Orthopaedic Surgery, School of Medicine, Catholic University of Taegu) ;
  • Kim Tae-Hoon (Department of Orthopaedic Surgery, School of Medicine, Catholic University of Taegu)
  • 최창혁 (대구가톨릭대학교 의과대학 정형외과학교실) ;
  • 고상봉 (대구가톨릭대학교 의과대학 정형외과학교실) ;
  • 김태훈 (대구가톨릭대학교 의과대학 정형외과학교실)
  • Published : 2004.06.01
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Abstract

The snapping scapula is a relatively uncommon phenomenon occuring as a consequence of some anomalous conditioin existing between the thoracic wall and the undersurface of the scapula. It may present in several ways like crepitus, pain during scapular movement and limitation of scapular motion. The causes of snapping scapula are changes in the intervening soft tissues, the muscles, or the bursae between the scapula and the chest wall; and changes in the congruence between the anterior scapular surface and the underlying chest wall. The congenital elbow fusion or humeroradioulnar synostosis is an extremely rare inheritable disorder that previously described just a few reports. Recently we experienced a case of snapping scapular with congenital bilateral elbow fusion treated by arthroscopic scapulothoracic bursectomy and consequent open superomedial scapulectomy. We would describe the clinical feature of a snapping scapula and result of treatment with literature review.

Keywords

References

  1. Arntz CT, Matsen FA III: Partial scapulectomy for disabling scapulothorcic snapping. Orthop Trans, 14:252,1990.
  2. Ciullo JV, Jones E: Subscapular bursitis conservative and endoscopic treatment of "snapping scapular" or "washboard syndrome." Othop Trans, 16:740,1992-1993.
  3. Edwards TJC, Haan EA, Humphrey IJ: Humeroradioulnar synostosis in a patient with lambdoid synostosis. J Med Genet, 30:81-82, 1993. https://doi.org/10.1136/jmg.30.1.81
  4. Hersh JH, Joyce MR, Profumo LE: Humero-radio-ulnar synostosis, A new case and review. Am J Med Genet,33:170-171, 1989. https://doi.org/10.1002/ajmg.1320330205
  5. Matthews LS, Poehling GC, Hunter DM: Scapulothoracic endoscopy; anatomical and clinical considerations. Operative arthroscopy, 2nd ed. Philadelphia: Lippincott-Raven 813-820, 1996.
  6. McCluskey GM III, Bigliani LU: Scapulothoracic disorder. In: Andrews JR, Wilk KE, eds. The athlete' s shoulder, New York:Churchill Livingstone 305-316,1994.
  7. McCluskey GM III, Bigliani LU: Surgical management of refractory scapulothoracic bursitis. Orthop Trans, 15:801, 1991.
  8. Morse BJ, Ebrahem NA, Jackson WT: Partial scapulectomy for snapping scapula syndrome. Orthop Rev, 22:1141-1144,1993.
  9. Richards RR, Mckee MD: Treatment of painful scapulothoracic crepitus by resection of the superomedial angle of the scapula. Clinical Orthop, 247:111-116,1989.
  10. Sisto DJ, Jobe FW: The operative treatment of scapulothoracic bursitis in professional pitchers. Am J Sports Med, 14:192-194, 1986. https://doi.org/10.1177/036354658601400302