title: Treatment of Snapping Scapula Syndrome in Children and Adolescents.
abstract: OBJECTIVE
  The purpose of this study was to review 2 separate cohorts of young patients treated for snapping scapula: those treated surgically and those managed nonoperatively.
  
  
  METHODS
  A retrospective IRB-approved review was conducted on 18 pediatric aged patients (19 shoulders): 12 patients (average age 13.3) were treated nonoperatively, 6 patients (average age 15.4) (7 shoulders) were treated operatively. Demographic and clinical data were collected from medical records and 2 questionnaires for level of activity, return to sport, subjective satisfaction from treatment, and preoperative/postoperative levels of pain. The American Shoulder and Elbow Society (ASES) score was measured for both groups.
  
  
  RESULTS
  Mean follow-up for nonoperative patients was 43.7 months (range, 20 to 116 mo). Pretreatment subjective pain levels were 5.2 (scale 1 to 10), posttreatment were 1.5. There was a 75% return to play rate, and an overall 75% satisfaction rate. Posttreatment ASES scores were 90.0. Mean follow-up for surgical patients was 129.5 months (range, 68 to 177 mo). Pretreatment subjective pain level was 8.6, posttreatment was 0.75. There was an 83% return to play rate, and an overall 100% satisfaction rate. There were no complications. Posttreatment ASES scores were 92.6.
  
  
  CONCLUSIONS
  Outcomes for nonoperative treatment of snapping scapula are good for young patients. Surgical management of snapping scapula is a safe and viable treatment option for patients who fail nonoperative treatment.
  
  
  METHODS
  Level IV.
authors.affiliation: *Department of Orthopaedic Surgery, Boston Children's Hospital †Division of Sports Medicine, Harvard Medical School, Boston, MA.
authors.forename: Brian
authors.initials: B
authors.lastname: Haus
authors.forename: Adam Y
authors.initials: AY
authors.lastname: Nasreddine
authors.forename: Catherine
authors.initials: C
authors.lastname: Suppan
authors.forename: Mininder S
authors.initials: MS
authors.lastname: Kocher
mesh_terms: D000293:Adolescent; D002648:Child; D000072700:Conservative Treatment; D005260:Female; D006801:Humans; D008297:Male; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D012189:Retrospective Studies; D000068958:Return to Sport; D012540:Scapula / Q000002:abnormalities / Q000601:surgery*; D012782:Shoulder; D020069:Shoulder Pain / Q000209:etiology / Q000628:therapy*; D011795:Surveys and Questionnaires; D013577:Syndrome; D016896:Treatment Outcome