Popping Scapula

　　There are many factors causing shoulder blade crepitus, including developmental and acquired factors, among which the following several types are mainly:

　　1, Developmental factors:It is mainly the anterior flexion of the superior angle of the scapula. This developmental factor can be displayed on the oblique X-ray film.

　　2, Abnormal hyperplasia:Fibrocartilaginous nodules (Luschka) at the abnormal superior angle of the scapula are more common.

　　3, Bursitis:There is chronic inflammatory proliferation and hypertrophy of the bursa between the scapula and the chest wall.

　　4, Tumor:Chondroma between the scapula and the chest wall, where the chondroma is often flattened due to compression.

　　5, Other:Occasionally, there may be abnormal bone fiber connections between the scapular inner angle and the cervical spine, rib tumors, or other developmental morphological abnormalities, etc.

　　In addition to general symptoms, shoulder blade crepitus can also cause other diseases. This disease can also cause scapular pain and limited range of motion of the shoulder joint. Therefore, once found, it is necessary to treat actively, and preventive measures should also be taken in daily life.

　　Patients with shoulder blade crepitus may experience dull or crisp sounds and a sense of jumping under certain activities of the upper limb (angle), accompanied by pain or discomfort, etc. About half of the cases also have abnormal sensations at rest, so patients often deliberately move the scapula to produce friction sounds. The diagnosis of this disease is not difficult, but it is necessary to understand the etiology to provide help for further treatment.

　　The onset of shoulder blade crepitus is slow, with no obvious trigger factors, and poor posture and shoulder blade drooping are related to the onset. Patients can persist in regular physical examinations in daily life, and seek timely medical treatment in regular hospitals once any abnormal condition is found, in order to avoid missing the best treatment opportunity.

　　In the diagnosis, in addition to relying on clinical manifestations, it is also necessary to rely on auxiliary examinations. Patients with shoulder blade crepitus can undergo shoulder blade X-ray examination, taking anteroposterior and lateral X-ray films, and CT and MRI examinations can be performed when necessary.

　　In addition to general treatment, patients with shoulder blade crepitus should also pay attention to dietary adjustment.

　　1. What is good for the body to eat with shoulder blade crepitus?

　　1. The diet for patients with shoulder blade crepitus caused by synovitis should focus on warming and tonifying the liver and kidney, and clearing heat and transforming dampness, such as red dates, glutinous rice, dog meat, lamb, etc. When there is obvious joint swelling and accompanied by redness and heat, it is advisable to have light and diuretic food, such as watermelon, winter melon, lotus root, tofu, etc., and avoid spicy, fried, greasy and other dampness-producing foods, such as chili, tobacco and alcohol, fatty meat, roasted lamb, etc. In daily life, it is also necessary to eat more foods that are beneficial to joint repair, such as shark fin, tendons, ribs, vinegar, eggs, milk, soy milk, etc., to regulate the overall condition of the body.

　　2. Eat more foods with anticancer effects to prevent clicky shoulder blade caused by chondromatosis, such as turtle, mushrooms, black fungus, garlic, seaweed, mustard, and royal jelly, and other foods.

　　3. Eat more fresh fruits and vegetables, such as figs, lychees, walnuts, loofah, Portulaca oleracea, soy sauce, olives, almonds, luffa, and so on.

　　Secondly, what foods should you not eat if you have a clicky shoulder blade?

　　1. Eat less sweets, as the sugars are easy to cause allergies and can exacerbate the development of joint synovitis, easily causing joint swelling and increased pain.

　　2. Drink less alcohol and coffee, tea, and other beverages, and avoid passive smoking as much as possible, as all of them can exacerbate the deterioration of arthritis.

　　3. Eat less milk, goat milk, and other dairy products, peanuts, chocolate, millet, cheese, sugar, and other foods containing tyrosine, phenylalanine, and tryptophan, as they can produce prostaglandins, leukotrienes, tyrosine kinase autoantibodies, and anti-milk IgE antibodies that cause arthritis, easily causing allergic reactions and exacerbating, recurrence, or deterioration of arthritis.

　　4. Eat less fatty meat, high animal fat, and high cholesterol foods, as the ketone bodies, acids, arachidonic acid metabolites, and inflammatory mediators produced can inhibit the function of T lymphocytes, easily causing and aggravating joint pain, swelling, bone decalcification, and joint destruction.

　　5. It is recommended to eat more animal blood, eggs, fish, shrimp, bean products, potatoes, beef, chicken, and cow's 'tendon' meat, which are rich in histidine, arginine, nucleic acids, and collagen.

　　The principle of treating clicky shoulder blade in Western medicine is mainly to remove the pathological factors causing the clicky shoulder blade, including surgical treatment. For those with unknown etiology, local closure therapy can be performed, and further examination, including CT and MRI, is required if ineffective, and comparison with the opposite side. If necessary, surgery can be performed under local anesthesia.