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Gurz S, Temel N, Tanrivermis Sayit A, Sullu Y. A Rare Lesion of the Thoracic Wall: Giant Scapulothoracic Bursitis. Cureus 2022; 14:e30113. [DOI: 10.7759/cureus.30113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/09/2022] [Indexed: 11/07/2022] Open
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Walter WR, Burke CJ, Adler RS. Ultrasound-Guided Therapeutic Scapulothoracic Interval Injections. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2019; 38:1899-1906. [PMID: 30472731 DOI: 10.1002/jum.14865] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2018] [Accepted: 10/23/2018] [Indexed: 06/09/2023]
Abstract
Scapulothoracic pain is a common ailment, but the underlying cause can be difficult to diagnose in a timely manner, and treatment options are limited. We retrospectively review our experience using ultrasound-guided therapeutic scapulothoracic interval steroid injections to treat scapulothoracic pain and review correlative magnetic resonance imaging findings over a 5-year period. Although a variety of structural causes are known to cause scapulothoracic pain, in our experience, most cases lack correlative imaging findings. Ultrasound-guided scapulothoracic interval injections provide a safe, easily performed diagnostic and therapeutic tool for treating patients with periscapular pain, providing at least short-term symptom relief.
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Affiliation(s)
- William R Walter
- Department of Radiology, Musculoskeletal Division, NYU Langone Health, New York, New York, USA
| | - Christopher J Burke
- Department of Radiology, Musculoskeletal Division, NYU Langone Health, New York, New York, USA
| | - Ronald S Adler
- Department of Radiology, Musculoskeletal Division, NYU Langone Health, New York, New York, USA
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Dzian A, Skaličanová M, Fučela I, Malík M, Mičák J. Bilateral cystic lesions of the chest wall: Presentation of scapulothoracic bursitis. Int J Surg Case Rep 2019; 54:116-119. [PMID: 30641437 PMCID: PMC6330383 DOI: 10.1016/j.ijscr.2018.11.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2018] [Revised: 11/12/2018] [Accepted: 11/17/2018] [Indexed: 11/24/2022] Open
Abstract
Rare case of bilateral scapulothoracic bursitis. Collections verified by magnetic resonance. Open surgical resection with good result.
Introduction Scapulothoracic articulation has several bursae which allow a sliding movement of the scapulothoracic joint. The two major anatomical bursae are the supraserratus bursa and infraserratus bursa. Presentation of Case It was a case of a 59 year-old female patient with a professional load and a clinical finding of bilateral subscapular resistances of the thorax. The finding of bilateral collections in the intermuscular spaces between external intercostal muscles and heads of serratus anterior muscle was verified by magnetic resonance. Conclusion Due to progressively increasing bilateral findings an open surgical resection was implemented, with good result.
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Affiliation(s)
- Anton Dzian
- Department of Thoracic Surgery, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, University Hospital in Martin, Kollárova 2, 036 59 Martin, Slovak Republic.
| | - Michaela Skaličanová
- Department of Thoracic Surgery, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, University Hospital in Martin, Kollárova 2, 036 59 Martin, Slovak Republic
| | - Ivan Fučela
- Department of Thoracic Surgery, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, University Hospital in Martin, Kollárova 2, 036 59 Martin, Slovak Republic
| | - Marek Malík
- Department of Thoracic Surgery, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, University Hospital in Martin, Kollárova 2, 036 59 Martin, Slovak Republic
| | - Jozef Mičák
- Department of Pathological Anatomy, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, University Hospital in Martin, Kollárova 2, 036 59 Martin, Slovak Republic
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Osias W, Matcuk GR, Skalski MR, Patel DB, Schein AJ, Hatch GFR, White EA. Scapulothoracic pathology: review of anatomy, pathophysiology, imaging findings, and an approach to management. Skeletal Radiol 2018; 47:161-171. [PMID: 29075809 DOI: 10.1007/s00256-017-2791-6] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Revised: 09/27/2017] [Accepted: 10/05/2017] [Indexed: 02/02/2023]
Abstract
Symptomatic scapulothoracic disorders, including scapulothoracic crepitus and scapulothoracic bursitis are uncommon disorders involving the scapulothoracic articulation that have the potential to cause significant patient morbidity. Scapulothoracic crepitus is the presence of a grinding or popping sound with movement of the scapula that may or may not be symptomatic, while scapulothoracic bursitis refers to inflammation of bursa within the scapulothoracic articulation. Both entities may occur either concomitantly or independently. Nonetheless, the constellation of symptoms manifested by both entities has been referred to as the snapping scapula syndrome. Various causes of scapulothoracic crepitus include bursitis, variable scapular morphology, post-surgical or post-traumatic changes, osseous and soft tissue masses, scapular dyskinesis, and postural defects. Imaging is an important adjunct to the physical examination for accurate diagnosis and appropriate treatment management. Non-operative management such as physical therapy and local injection can be effective for symptoms secondary to scapular dyskinesis or benign, non-osseous lesions. Surgical treatment is utilized for osseous lesions, or if non-operative management for bursitis has failed. Open, arthroscopic, or combined methods have been performed with good clinical outcomes.
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Affiliation(s)
- Walter Osias
- Department of Radiology, Keck School of Medicine, University of Southern California, 1500 San Pablo Street, Second Floor Imaging, Los Angeles, CA, 90033, USA
| | - George R Matcuk
- Department of Radiology, Keck School of Medicine, University of Southern California, 1500 San Pablo Street, Second Floor Imaging, Los Angeles, CA, 90033, USA
| | - Matthew R Skalski
- Department of Radiology, Keck School of Medicine, University of Southern California, 1500 San Pablo Street, Second Floor Imaging, Los Angeles, CA, 90033, USA
| | - Dakshesh B Patel
- Department of Radiology, Keck School of Medicine, University of Southern California, 1500 San Pablo Street, Second Floor Imaging, Los Angeles, CA, 90033, USA
| | - Aaron J Schein
- Department of Radiology, Keck School of Medicine, University of Southern California, 1500 San Pablo Street, Second Floor Imaging, Los Angeles, CA, 90033, USA
| | - George F Rick Hatch
- Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Eric A White
- Department of Radiology, Keck School of Medicine, University of Southern California, 1500 San Pablo Street, Second Floor Imaging, Los Angeles, CA, 90033, USA.
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Abstract
Scapulothoracic bursitis is a rare disease and presents as pain or swelling around the bursa of the scapulothoracic articulation. It has been reported to be related to chronic repetitive mechanical stress of the periscapular tissue, trauma, overuse, and focal muscle weakness. The authors experienced an atypical case of scapulothoracic bursitis with shoulder and periscapular pain after quadriparesis.This case implies that muscular atrophy around the scapula and chest wall from quadriparesis may contribute to the development of scapulothoracic bursitis with shoulder and periscapular pain. In addition, clinician should be alert to it as a possible cause when a patient with quadriparesis complains of shoulder and periscapular pain and consider proper diagnostic options such as ultrasonography or magnetic resonance imaging.
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Affiliation(s)
- Seung Jun Seol
- From the Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea
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Affiliation(s)
- Gregory R. Saboeiro
- Department of Radiology & Imaging, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA
| | - Carolyn M. Sofka
- Department of Radiology & Imaging, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021 USA
- Weill Medical College of Cornell University, New York, NY USA
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