case_images: PMC11823871_01
case_images: Multiple palpable swellings along medial border of the scapula (arrows).
case_images: JOCR-15-221-g001.jpg
case_images: PMC11823871_01_JOCR-15-221-g001.jpg
case_images: F1
case_images: On clinical examination, all the patients in the study demonstrated palpable and audible clicking sounds during scapulothoracic movements on the affected side (Fig. 1).
case_images: Magnetic resonance imaging shows infraserratus (red arrows) and trapezoid bursitis (yellow arrow).
case_images: JOCR-15-221-g002.jpg
case_images: PMC11823871_01_JOCR-15-221-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging (MRI) revealed fibrous bands, thickened bursae, and ruled out any malignant conditions that may mimic scapulothoracic bursitis (Fig. 2). During the surgery, the patients were placed in a prone position with their arm in chicken winged position, two portals were made 3 cm medial to medial border of scapula, one just below the level of spine of scapula for arthroscope and one 5 cm below to that for the instrumentation (Fig 2).
case_images: (a) Intraoperative picture with the patient in a prone position and limb in chicken wing position with portals marked, (b) arthroscopic picture of thick fibrinous infraserratus bursa with a lot of fibrinous strands, and (c) arthroscopic picture after complete resection of infraserratus bursa with clear space between muscle planes.
case_images: JOCR-15-221-g003.jpg
case_images: PMC11823871_01_JOCR-15-221-g003.jpg
case_images: F3
case_images: Using a radiofrequency ablator and arthroscopic shaver, inflamed bursae were resected, and the scapula was freed from the thoracic wall regaining the full passive scapulothoracic motion (Fig. 3-6).
case_images: Six-month post-operative picture with full shoulder movements and there were no palpable swellings.
case_images: JOCR-15-221-g004.jpg
case_images: PMC11823871_01_JOCR-15-221-g004.jpg
case_images: F4
case_images: Using a radiofrequency ablator and arthroscopic shaver, inflamed bursae were resected, and the scapula was freed from the thoracic wall regaining the full passive scapulothoracic motion (Fig. 3-6).
case_images: Palpable swellings (black arrows) over the medial border of the right scapula due to recalcitrant trapezoid and infraserrator bursitis.
case_images: JOCR-15-221-g005.jpg
case_images: PMC11823871_01_JOCR-15-221-g005.jpg
case_images: F5
case_images: Using a radiofrequency ablator and arthroscopic shaver, inflamed bursae were resected, and the scapula was freed from the thoracic wall regaining the full passive scapulothoracic motion (Fig. 3-6).
case_images: (a) Intraoperative images showing the positioning of the patient in chicken wing positions with portals marking, (b) thick fibrinous trapezoid bursa under trapezius muscle, (c) bursoscopy and aggressive bursectomy using radio frequency ablator and (d) after complete bursectomy.
case_images: JOCR-15-221-g006.jpg
case_images: PMC11823871_01_JOCR-15-221-g006.jpg
case_images: F6
case_images: Using a radiofrequency ablator and arthroscopic shaver, inflamed bursae were resected, and the scapula was freed from the thoracic wall regaining the full passive scapulothoracic motion (Fig. 3-6).
case_images: (a) Clinical image at 6-month post-operative showing shows well-healed portal scar (b) with a complete range of shoulder movements.
case_images: JOCR-15-221-g007.jpg
case_images: PMC11823871_01_JOCR-15-221-g007.jpg
case_images: F7