TechniqueSnapping Scapula Syndrome Caused by an Osteochondroma of the Second Rib: A Novel Surgical Technique and Case ReportBarrett-Lee, Joe J.T. BMedSci, BMBS, MRCS; Harper, Gareth D. MBBChir, FRCSAuthor Information Queen Alexandra Hospital, Portsmouth, UK The authors declare no conflict of interest. Reprints: Joe J.T. Barrett-Lee, BMedSci, BMBS, MRCS, Queen Alexandra Hospital, Southwick Hill Road, Cosham, Portsmouth PO6 3LY, UK (e-mail: email@example.com). Techniques in Shoulder & Elbow Surgery: September 2020 - Volume 21 - Issue 3 - p 76-78 doi: 10.1097/BTE.0000000000000196 Buy Metrics Abstract Snapping scapula syndrome is characterized by painful crepitus at the scapulothoracic articulation, which is worse on movement, in the particular overhead activity. A number of bony causes of snapping scapula syndrome due to ventral scapular exostoses have been previously reported. However, we present a rare case of snapping scapula syndrome resulting from an osteochondroma of the second rib, causing pain at the superior scapula with shoulder movement. This required a novel surgical multidisciplinary approach. Surgical resection was performed via a posterior trapezius-splitting approach resulting in symptom resolution. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.