Revista Cubana de Ortopedia y Traumatología
versión ISSN 0864-215X
CABRERA VILTRES, Nelson et al. Surgical treatment of the scapulothoracic friction syndrome. Rev Cubana Ortop Traumatol [online]. 2011, vol.25, n.1, pp. 34-44. ISSN 0864-215X.
INTRODUCTION: The scapulothoracic friction syndrome is a pain cause in the posterior area of the shoulder and that may be provoked by a dysfunction of this joint. When conservative treatment fails or when it is due to tumor injuries, surgical treatment is prescribed. The aim of present paper is to assess the results obtained with this type of treatment in our study group. METHODS: An intervention study was conducted in 17 patients with a scapulothoracic friction syndrome operated on the Upper Member Service of the "Frank País" International Orthopedics Scientific Complex from March, 2002 to March, 2008. Surgical technique was in correspondence with the triggering cause of this syndrome. Functional assessment of results was made at 6 months after surgery taking into account three categories of the Shoulder Functional Assessment Test of the Los Angeles University, California (pain, function and the patient's satisfaction grade), also for our study, three categories more were added to this test (flexion, abduction and antepulsion). RESULTS: Mean age in our series was of 31,8 years; 15 patients (89,4% were women, the more involved age groups were those under 20 years and between 31 to 40 years each, with predominance of the dominant limb in 10 patients (58,8%) with greater frequency in the intellectual ones. Assessment of pain, function, flexion, abduction and antepulsion showed a significant trend to improve of score. The 82% of patients showed excellent or good results.
Palabras llave : Scapulothoracic friction; diagnosis; surgical treatment.