The purpose of this study was to investigate the effects of serratus anterior strengthening exercises on scapular position and Visual Analog Scale (VAS) pain measurements taken at the resting position in young adults with adducted scapular. The exercise program included stretching of the scapular retractor and strengthening of the serratus anterior muscle. We measured the distance from the midline of the thorax to the vertebral border of the scapular with a tape line (Superior Kibler), and the distance from the 7th cervical spinous process to the acromial angle with 3-dimension motion analysis system, to compare the resting scapular position before and after exercise. Fifteen subjects with adducted scapular were recruited to compare the resting scapular position and VAS. The distance from 7th cervical spine process to acromial angle of the scapular and VAS decreased significantly (p<.01) after exercise, while the distance from the midline of the thorax to vertebral border of the scapular increased (p<.05). The conclusion is that the serratus anterior exercise program altered the resting scapular position and decreased VAS.

Elastofibroma is a rare benign tumor that occurs in connective tissue. It mostly arises between the lower scapula and the chest wall of the elderly people with a female predominance. The tumor presents as a slow growing mass and rarely causes pain and scapular snapping. The etiology of the elastofibroma is not known, but it can occur as a reaction to repeated trauma or friction, and it may also be induced by family history or genetic abnormalities. In diagnostic imaging, it is an ill-defined, heterogenous soft tissue mass with similar intensity to that of skeletal muscle. On histopatholgy, it is characterized by the proliferative fibrous tissue containing abnormal elastic fibers and interlaced adipose tissue. Surgical treatment is very limited. In general, infrascapular location, bilaterality and typical imaging features in the elderly women are sufficient for diagnosis of elastofibroma, thus avoiding unnecessary surgical resection. We report a case of a 69-yearold female with bilateral elastofibroma in the scapular region with a review of literature.