SNAPPING SCAPULA AND HUMERUS VARUS

Abstract

The presence of friction sounds in the region of the scapula has not gone unnoticed either by the internist or by the surgeon. The daily practice of auscultation of the chest has necessarily led to the discovery and differential diagnosis of sounds extraneous to the pulmonary tissue which might lead to erroneous conclusions. In the literature of the Continent a few articles devoted to a consideration of this subject have appeared in the German, Italian and French languages. In English, however, hardly anything concerning it has come to our knowledge, and we make this our excuse for presenting a brief review of the subject. Credit for the recognition of this condition must be given to Boinet, 1 who was not able to determine the exact causation of the sound. Some time later Galvagni 2 had the opportunity of observing several phthsical patients in whom scapular sounds were present. He was