Pain in the posterior scapula can be seen for the following reasons: First, middle-aged female patients are commonly seen with periarthritis of the shoulder joint, which is related to degenerative bone changes, and local soft tissue damage after trauma can easily form fasciitis, which can manifest as pain, mainly by physical therapy. Secondly, if the scapula is fractured or there is bone destruction, it is mostly seen in malignant tumor metastasis of the scapula, which is a way of hematogenous metastasis, usually with symptoms of the original disease, commonly from malignant tumor of the intestine, malignant tumor of the breast, and malignant tumor of the lung tissue, the patient will have abdominal pain, abdominal distension, cough and sputum, which is a manifestation of the advanced stage of the tumor, if the condition allows The patient can choose to fight against bone metastasis treatment, and also can use intravenous chemotherapy.