Gomez Gonzalo, Pacheco Victor Alexander, Pisanti Carolina, Aguirre Trujillo Kennet Fabricio
SportsMed Academy, Buenos Aires, Buenos Aires, Argentina.
Dr. Sulaiman AL-Habib Hospital - AL Khobar, Khobar, Saudi Arabia.
Arthrosc Tech. 2025 Jun 18;14(8):103671. doi: 10.1016/j.eats.2025.103671. eCollection 2025 Aug.
The scapulothoracic joint is unique as the result of its configuration, setting, and functioning. The concave scapula must glide smoothly on the convex thoracic cage to provide a functional foundation for glenohumeral motion. Alterations of this subtle relationship the between concave scapula and convex thoracic cage may trigger snapping scapula syndrome. This pathology is commonly misdiagnosed and underreported. The main treatment is conservative in nature but in situations in which it fails after a long period, surgery is an option, specifically anarthroscopic technique. The gold standard of arthroscopic treatment is based on bursectomy and partial scapulectomy. The levator scapulae is involved in the painful pathophysiology of the snapping scapula syndrome, so its release is a critical step in the setting of the arthroscopic treatment. On this basis, a "full-house" arthroscopic treatment must include bursectomy, release of the levator scapulae, and partial scapulectomy.
肩胛胸壁关节因其结构、位置和功能而独具特色。凹面的肩胛骨必须在凸面的胸廓上平滑滑动，为盂肱关节运动提供功能基础。肩胛骨凹面与胸廓凸面之间这种微妙关系的改变可能引发肩胛骨弹响综合征。这种病症常被误诊且报告不足。主要治疗方法本质上是保守治疗，但在长期保守治疗失败的情况下，手术是一种选择，特别是关节镜技术。关节镜治疗的金标准是滑囊切除术和部分肩胛骨切除术。肩胛提肌参与了肩胛骨弹响综合征的疼痛病理生理过程，因此在关节镜治疗中松解肩胛提肌是关键步骤。在此基础上，“一站式”关节镜治疗必须包括滑囊切除术、肩胛提肌松解术和部分肩胛骨切除术。
