McMaster University

McMaster University

Arthroscopic Management of Snapping Scapula Syndrome

We are pleased to share with you a recent publication in Knee Surgery, Sports Traumatology, Arthroscopy. This publication is entitled "Arthroscopic management of snapping scapula syndrome improves pain and functional outcomes, although, a high rate of residual symptoms has been reported".

Please find access to the full-version of the article click here.

Memon M, Kay J, Simunovic N, Ayeni OR. Arthroscopic management of snapping scapula syndrome improves pain and functional outcomes, although, a high rate of residual symptoms has been reported. Knee Surg Sports Traumatol. August 2017. In Press.

Abstract

Purpose
To investigate the use of arthroscopy in the management of patients with snapping scapula syndrome, including aetiology, surgical decision-making, outcomes, complications, effectiveness of arthroscopy, and quality of evidence of the existing literature.

Methods
Three databases (PubMed, Ovid [MEDLINE], and EMBASE) were searched independently and in dupli-cate to systematically screen the literature. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) checklist guided the reporting and data abstrac-tion. Methodological quality of all included papers was assessed using the MINORS criteria. The results are pre-sented in a narrative summary fashion using descriptive sta-tistics including means, proportions, and ranges.

Results
Overall, 18 studies (5 case reports and 13 case series; all level IV evidence) were identified, including 201 patients (203 shoulders). The mean follow-up period was 32.7months (range 1–154months). Surgical decision-mak-ing for the use of arthroscopy was most commonly based on a failed trial of initial non-operative management in 17 stud-ies (94%). Overall, 21% of cases achieved complete resolu-tion of pre-operative symptoms, including pain, crepitus, and range of motion, while 68% of cases obtained some clinical improvement, but reported some residual symptoms (per-sistent crepitus [12%] and persistent scapulothoracic pain[4%]). Moreover, poor outcomes were reported 11% of cases and the most common complication was scapular oedema (6%).

Conclusion
Arthroscopic management of snapping scap-ula syndrome yields improvement in pain, crepitus, and range of motion in a majority of patients; however, most patients experience residual symptoms. Further studies are needed to compare the outcomes of shoulder arthroscopy with other available treatment options for snapping scapula syndrome. Shoulder arthroscopy for snapping scapula can improve patients’ symptoms; however, patients must be informed about the high likelihood of persistent symptoms post-operatively.


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