Scapulothoracic Bursitis (Snapping Scapula)

What is a snapping scapula or scapulothoracic bursitis?

The scapula, also known as the shoulder blade, is a triangular-shaped bone that creates the back part of the shoulder and helps to give the shoulder stability and an extensive range of motion. A fluid-filled sac-like tissue structure known as a bursa is found between the shoulder blade and the rib cage that cushions this joint and allows for frictionless movement of the shoulder. Scapulothoracic bursitis, commonly known as a snapping scapula, occurs when there is inflammation of the bursa and weakening of the muscles in this region of the shoulder from overuse or repetitive motions of the shoulder joint. This creates a feeling of “grating” or “snapping” of the shoulder blade. Dr. Joseph Lamplot, orthopedic knee specialist, treats patients in Arlington Heights, Kildeer, Lake Zurich, Barrington, and the surrounding Northwest Suburbs of Chicago, IL, who have experienced a snapping scapula.

What are the symptoms of a snapping scapula?

• Dull, aching pain in the shoulder blade
• “Snapping,” “grinding,” or “grating” sensation in the shoulder blade during movement
• Swelling and/or stiffness of the shoulder
• Pain or decreased range of motion of the shoulder during movement

How do I know if I have a snapping scapula?

Patients who are experiencing pain or other symptoms affecting their shoulder should be evaluated for possible injuries or conditions affecting their shoulder joint. To diagnose a snapping scapula, Dr. Lamplot will first review a detailed medical history of his patient. This will include any previous injuries to the shoulder, activity level, participation in sports or physical activity with repetitive motions, and any of the patient’s concerns. Dr. Lamplot will also perform a physical examination to evaluate the patient’s range of motion, location of pain, and other factors to help him possibly diagnose scapulothoracic bursitis. He may also order additional diagnostic imaging such as an MRI scan or X-ray, to give him a better image of the patient’s shoulder joint and confirm his diagnosis.

Do I have to have surgery if I have a snapping scapula?

When possible, Dr. Lamplot prefers to treat patients experiencing a snapping scapula with initial conservative, non-surgical approaches. Rest and ice application to the affected shoulder will be recommended to reduce pain and swelling Dr. Lamplot may also recommend specific exercises, stretches, and a physical therapy program that is tailored to each patient individually to assist with the healing process and to regain strength and flexibility of the shoulder joint. Pain may be managed through nonsteroidal anti-inflammatory medications (NSAIDs) or through a corticosteroid (cortisone) injection to alleviate swelling of the bursa. Dr. Lamplot will tailor the recommended treatment to each patient’s needs and what will best help their condition to improve.

What are the surgical treatments for snapping scapula?

Surgery may be recommended to alleviate scapulothoracic bursitis if it is not helped by non-surgical methods. Additionally, some patients experience a snapping scapula as a result of a bony or soft tissue mass on the shoulder blade. These particular patients may require surgery to remove the mass and fix the snapping scapula condition. If non-surgical methods are unsuccessful, Dr. Lamplot may perform a minimally invasive arthroscopic surgery to remove the inflamed bursa and any scar tissue affecting the joint.