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The American Journal of Sports Medicine 32:1554-1565 (2004)
© 2004 American Orthopaedic Society for Sports Medicine


Clinical Sports Medicine Update

Nonoperative and Operative Management of Snapping Scapula

Robert C. Manske, MEd, MPT, SCS, ATC, CSCS*,{dagger},{ddagger}, Michael P. Reiman, MEd, PT, ATC, CSCS{ddagger} and Mark L. Stovak, MD{ddagger}

From {dagger} Wichita State University, Wichita, Kansas, and {ddagger} Via Christi Regional Medical Center, Wichita, Kansas

* Address correspondence to Robert C. Manske, MEd, MPT, SCS, ATC, CSCS,1845 North Fairmount, Wichita, KS 67260-0043 (e-mail: robert.manske{at}wichita.edu).

Snapping scapula is a painful crepitus of the scapulothoracic articulation. This crepitus is a grinding or snapping noise with scapulothoracic motion that may or may not accompany pain. This condition is commonly seen in overhead-throwing athletes. Treatment of patients with this syndrome begins with nonoperative methods; when nonoperative treatment fails, several surgical options exist. This article will discuss both nonoperative and operative management of this common shoulder condition.

Key Words: scapulothoracic crepitus • scapulothoracic bursitis • scapular disorders • shoulder rehabilitation







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