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KMID : 0378019730160030085
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New Medical Journal
1973 Volume.16 No. 3 p.85 ~ p.88
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Levator Scapulae Bursitis
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李棹榮/Lee, Do Young
李光鎭/李德鏞/Lee, Kuang Jin/Lee, Duk Yong
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Abstract
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In contrast to frozen -shoulder and a variety of painful lesions of the shoulder joint, those painful conditions occurring in the posterior aspects of the shoulder girdle and the neck have been poorly understood.
Our clinical experience suggests that the chief pathology lies in the bursa at the superior angle of the scapula where the levator scapulae muscle inserts, the presence of which Codman described in 1934, without giving it an anatomical name. Pain in this region, ranging from vague chronic discomfort to severe pain accompanied by an acute wry neck, should be scrutinized for specific pathology and etiology.
An analysis with 32 cases reveals that most occur in the middle-aged adults, typically with no definite history to attribute the onset, although muscle fatigue is suspected to be the cause. Conservative regimen, consisting of local steroid and xylocain injections, hot pack, postural exercises and rest, is the treatment of choice.
We believe that levator scapulae bursitis is a rather common and distinct clinical entity. It should not be confused with a more rare snapping scapula or adventitious bursitis due to a congenitally deformed scapula. Only occasionally, rheumatoid arthritis may be the underlying etiology.
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