Scapular isometric exercises7/11/2023 ![]() Persistently symptomatic patients underwent surgical intervention most commonly involving bursectomy, superomedial angle resection, or partial scapulectomy. ![]() Initial nonoperative treatment was reported as successful in most symptomatic patients, with improved visual analogue scale (VAS) scores (7.7 ± 0.5 pretreatment, to 2.4 ± 0.6). Three-dimensional computed tomography had high interrater reliability of 0.972, with a 100% success rate in identifying symptomatic incongruity of the scapular articular surface. The most common signs reported were medial scapular border tenderness, crepitus, and audible snapping. Studies commonly reported SSS as a clinical diagnosis and relied heavily on a focused history and physical examination. ![]() A total of 1442 references were screened and 40 met the inclusion criteria.
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