Determination of various etiological factors for diagnosis of non traumatic scapulo costal syndrome


  • Kundan Kushwah Department of Orthopaedics, MGM Medical College and MY Hospital, Indore, M.P., India
  • Pranav Mahajan Department of Orthopaedics, MGM Medical College and MY Hospital, Indore, M.P., India
  • Vikalp Rajoria Department of Orthopaedics, MGM Medical College and MY Hospital, Indore, M.P., India



Scapulocostal syndrome, Supraspinatus tendinitis, Bicipital tendinitis, Snapping shoulder


Background: Scapulocostal syndrome, also known as "snapping scapula," is an under-recognized problem involving overhead or throwing motion of the upper extremities. It is often described as a snapping or grinding sensation accompanied with pain as the scapula touches the chest wall and an audible or palpable click near the anteromedial scapula.

Method: A prospective observational study was performed at one of the biggest tertiary care centres of central India from September 2021 to March 2023. A total of 50 patients were included in this study. Patient were evaluated clinically in OPD for pain in Scapulothoracic region. All the suspected patients underwent various investigations like X-ray, ultrasonography, electromyography, nerve conduction velocity study, magnetic resonance imaging (MRI) depending on the condition to reach a diagnosis. The data was recorded and evaluated.

Results: A total of 50 patients were included in the study, 30 were females and 20 males, 50 % of our patients were diagnosed with supraspinatus tendinosis, 8 patients were found to have bicipital tendinitis, 3 patients had acromioclavicular joint arthritis, 2 patients developed pain because of glenohumeral joint arthropathy, subscapularis tendinitis. There were some other conditions as well diagnosed in few patients with the help of various investigations.

Conclusions: It was found that there were various reasons for pain in patients diagnosed clinically with scapulocostal syndrome. Dominant hand affection was more common. The clinical investigations play a major role in diagnosing these conditions and planning the treatment.


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