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      Superomedial Portal (Ejnisman's Portal) and Modified “Chicken-Wing” Patient Position for Scapulothoracic Arthroscopy

      brief-report
      Author(s): , M.D., Ph.D. b , ∗ , , M.D., Ph.D. b , , M.D. b , , M.D., Ph.D. a , , M.D., Ph.D. b , , M.D., Ph.D. c , , M.D., Ph.D. c
      Publication date (Electronic):
      Journal: Arthroscopy Techniques
      Publisher: Elsevier

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          Abstract

          Scapulothoracic arthroscopy is performed to treat scapulothoracic joint disorders, such as scapulothoracic bursitis, snapping scapula, and osteochondroma of the anterior scapula surface, and in the extraction of firearm projectiles. This article describes this treatment using an alternative superomedial portal and modified chicken-wing position to improve access to the scapulothoracic space and thus perform the procedure as safely as possible, with less morbidity and excellent results for the patients.

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          Endoscopically assisted resection of a scapular osteochondroma causing snapping scapula syndrome

          SATORU FUKUNAGA, HIROYUKI FUTANI, Shinichi Yoshiya (2007)
          Background Osteochondroma is the most common benign bone tumor in the scapula. This condition might lead to snapping scapula syndrome, which is characterized by painful, audible, and/or palpable abnormal scapulothoracic motion. In the present case, this syndrome was successfully treated by use of endoscopically assisted resection of the osteochondroma. Case presentation A 41-year-old man had a tolerable pain in his scapular region over a 10 years' period. The pain developed gradually with shoulder motion, in particular with golf swing since he was aiming a professional golf player career. On physical examination, "clunking" was noted once from 90 degrees of abduction to 180 degrees of shoulder motion. A trans-scapular roentgenogram and computed tomography images revealed an osteochondroma located at the anterior and inferior aspect of the scapula. Removal of the tumor was performed by the use of endoscopically assisted resection. One portal was made at the lateral border of the scapula to introduce a 2.7-mm-diameter, 30 degrees Hopkins telescope. The tumor was resected in a piece-by-piece manner by the use of graspers through the same portal. Immediately after the operation pain relief was obtained, and the "clunking" disappeared. CT images showed complete tumor resection. The patient could start playing golf one week after the surgery. Conclusion Endoscopically assisted resection of osteochondroma of the scapula provides a feasible technique to treat snapping scapula syndrome and obtain early functional recovery with a short hospital stay and cosmetic advantage.
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            Nonoperative and operative management of snapping scapula.

            G C Manske, Michael P. Reiman, Mark Stovak (2004)
            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.
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              Snapping scapula syndrome: three case reports and an analysis of the literature.

              Hans Carlson, Andrew J Haig, David C. Stewart (1997)
              The snapping scapula syndrome is an infrequently described source of shoulder discomfort characterized by painful, audible, and/or palpable abnormal scapulothoracic motion. The syndrome may be caused by skeletal or soft-tissue abnormalities that interfere with articulation between the scapula and the rib cage. Often, no obvious source of the snapping can be identified with imaging studies. Three new cases with electrodiagnostic and imaging studies are presented. For the first time a critical analysis and review by diagnoses, gender, age, treatment, and outcome of 89 reported cases is presented. Accurate recognition of the syndrome may lead to prompt and long-term relief of symptoms by conservative or surgical treatment.
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                Author and article information

                Contributors
                Carlos Vicente Andreoli
                Journal
                Journal ID (nlm-ta): Arthrosc Tech
                Journal ID (iso-abbrev): Arthrosc Tech
                Title: Arthroscopy Techniques
                Publisher: Elsevier
                ISSN (Electronic): 2212-6287
                Publication date PMC-release: 23 January 2020
                Publication date Collection: January 2020
                Publication date (Electronic): 23 January 2020
                Volume: 9
                Issue: 1
                Pages: e51-e55
                Affiliations
                [a ]Sports Medicine Division, Department of Orthopedics and Traumatology, Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, São Paulo, SP, Brazil
                [b ]Department of Orthopedics and Traumatology, São Paulo, SP, Brazil
                [c ]Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, São Paulo, SP, Brazil
                Author notes
                [∗ ]Address correspondence to Carlos Vicente Andreoli, M.D., Ph.D., Chief os Sports Medicine of Department of Orthopedics and Traumatology, Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, Rua Iara 123 apto 91 raritate, Bairro Itaim, São Paulo, SP-cep 04542-30, Brazil. andreolicruz@ 123456uol.com.br
                Article
                Publisher ID: S2212-6287(19)30198-7
                DOI: 10.1016/j.eats.2019.08.019
                PMC ID: 6993189
                SO-VID: 312d9da8-e408-4be1-82bc-bf08c7bdb8b1
                Copyright © © 2019 by the Arthroscopy Association of North America. Published by Elsevier.
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 27 December 2018
                Date accepted : 27 August 2019
                Categories
                Subject: Technical Note

                Data availability:

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