Hanson Jared A, Liles Jordan L, Dey Hazra Rony-Orijit, Dey Hazra Maria E, Foster Michael J, Millett Peter J
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
The Steadman Clinic, Vail, Colorado, U.S.A.
Arthrosc Tech. 2022 Jun 14;11(7):e1175-e1180. doi: 10.1016/j.eats.2022.02.028. eCollection 2022 Jul.
Snapping scapula syndrome (SSS) is a painful and debilitating condition that occurs as a result of disruption of normal scapulothoracic articulation and inflammation of numerous soft tissue and bursal structures that function to facilitate scapulothoracic motion. Historically, when nonoperative management of SSS failed, patients progressed to open surgical management. However, as arthroscopic techniques have evolved, the condition has been increasingly treated arthroscopically because of the minimally invasive nature, periscapular muscle-preserving approach with decreased risk to surrounding neurovascular structures, better intraoperative visualization, and quicker patient recovery and rehabilitation. The objective of this Technical Note is to describe our arthroscopic approach for the management of SSS using two portals to complete a scapulothoracic bursectomy and partial scapulectomy of the superomedial scapula. Level of Evidence: Level I: shoulder.
弹响肩胛综合征（SSS）是一种疼痛且使人衰弱的病症，它是由于正常肩胛胸壁关节的破坏以及众多促进肩胛胸壁运动的软组织和滑囊结构的炎症而发生的。从历史上看，当SSS的非手术治疗失败时，患者会进展到开放手术治疗。然而，随着关节镜技术的发展，由于其微创性质、保留肩胛周围肌肉的方法、对周围神经血管结构的风险降低、更好的术中视野以及更快的患者恢复和康复，这种病症越来越多地通过关节镜进行治疗。本技术说明的目的是描述我们使用两个切口进行关节镜手术治疗SSS的方法，以完成肩胛胸壁滑囊切除术和肩胛上内侧部分切除术。证据级别：I级：肩部。
