Two clinical cases led to an examination of 700 scapular dry bone specimens in an effort to understand variations in anatomy of possible relevance to the development of a painful snapping scapula. The medial superior border and the inferior pole of the scapula respectively displayed areas of bony variability that appeared to be of clinical consequence in these 2 cases. The 2 areas are common sites of clinical symptomatology in the painful snapping scapula. Variations in the bony anatomy require consideration during the workup and evaluation of this condition.