A bursa between the lower trapezius fibres and the underlying ribs at the thoracic cage, developing in the region where the lower trapezius converges toward its spinal attachment. It may become inflamed in trapezius overuse and thoracic outlet syndrome.
Lower trapezius costal bursitis contributes to mid-thoracic and interscapular pain in patients with poor scapular stability. Strengthening of the lower trapezius as part of scapular dyskinesia rehabilitation must be balanced with attention to this bursal region. Direct injection at the lower trapezius costal interface provides diagnostic and therapeutic relief.
Mid-thoracic pain from lower trapezius costal bursal inflammation in patients with scapular winging or trapezius overuse, responding to scapular stabilisation exercises and targeted injection.
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