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关节镜下治疗顽固性肩胛胸壁滑囊炎所致弹响肩胛综合征——病例系列

Arthroscopic Management of Snapping Scapular Syndrome due to Recalcitrant Scapulothoracic Bursitis - A Case Series.

作者信息

Kembhavi Raghavendra, Chitten Jojin Jose, Inginshetty Nagesh M

机构信息

Department of Orthopaedics, Shri B M Patil Medical College Hospital and Research Centre, Bijapur, Karnataka, India.

Department of Orthopaedics, Al Azhar Medical College and Superspeciality Hospital, Thodupuzha, Kerala, India.

出版信息

J Orthop Case Rep. 2025 Feb;15(2):221-226. doi: 10.13107/jocr.2025.v15.i02.5290.

Abstract

INTRODUCTION

Snapping scapula syndrome (SSS) is a rare pathological condition characterized by palpable and/or audible crackling sensation during scapulothoracic movements. Scapulothoracic bursitis with or without osseous lesions is commonly associated with this syndrome. The initial management is always non-operative methods with anti-inflammatory medications and physiotherapy modalities. However, if the symptoms persist beyond 3-6 months of non-surgical treatment, it should be categorized as refractory or recalcitrant bursitis and necessitate either open or arthroscopic surgical excision of the lesion.

CASE REPORT

We successfully managed five patients with SSS with arthroscopic scapulothoracic bursectomy.

CONCLUSION

Arthroscopic scapulothoracic bursectomy is a successful surgical intervention for patients with scapulothoracic bursitis who do not respond to the conservative mode of management.

摘要

引言

弹响肩胛综合征(SSS)是一种罕见的病理状况,其特征为在肩胛胸壁运动期间可触及和/或听到噼啪声。伴有或不伴有骨质病变的肩胛胸壁滑囊炎通常与该综合征相关。初始治疗总是采用非手术方法,包括使用抗炎药物和物理治疗方式。然而,如果症状在非手术治疗3至6个月后仍持续存在,则应归类为难治性或顽固性滑囊炎,需要进行开放性或关节镜下手术切除病变。

病例报告

我们通过关节镜下肩胛胸壁滑囊切除术成功治疗了5例弹响肩胛综合征患者。

结论

对于对保守治疗方式无反应的肩胛胸壁滑囊炎患者,关节镜下肩胛胸壁滑囊切除术是一种成功的手术干预方法。

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