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Snapping Scapula
- Epidemiology
- Uncommon condition
- Etiology
- Scapula is cushioned by surrounding musculature
- Serratus anterior
- Subscapularis
- Scapula is poorly protected in a few locations
- Medial border
- Superior and Inferior Angles
- Differential Diagnosis for crepitation at shoulder
- Tumors of Scapula or Ribs
- Bursae between bones
- Poor posture with sagging of shoulder joint
- Symptoms
- Gradual progression following shoulder trauma
- Snapping sensation at scapulothoracic articulation
- Palpable
- Painful
- Audible grating sound
- Radiology: Shoulder XRay (AP, Lateral and Oblique)
- Assess for Exostoses and tumors
- Management
- Physical Therapy
- Rest
- Local Corticosteroid Injection
- Correct poor posture
- Surgery Indications
- Pain, dysfunction refractory to conservative therapy
- Remove involved area of scapula
- Secondary cause due to tumor or exostosis
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