osteoarthritis of the shoulder
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Etiology
- see osteoarthritis Epidemiolgy:
- primary osteoarthritis of the shoulder is not common
Clinical manifestations
- chronic pain in shoulders
- worse at night
- pain in upper arms
- difficulty with passive & active range of motion
- crepitus with movement of shoulders
Radiology
Management
- NSAIDs, physical therapy, avoid opiates
- intra-articular glucocorticoid provides the most rapid pain relief
- acupuncture of no benefit[2]
- joint injection with hyaluraonic acid of no benedit
- referral for shoulder arthroplasty[2]
- see osteoarthritis
More general terms
References
- ↑ NEJM Knowledge+ Rheumatology
- ↑ 2.0 2.1 2.2 American Academy of Orthopaedic Surgeons. Management of Glenohumeral Joint Osteoarthritis Evidence-Based Clinical Practice Guideline. Published March 23, 2020. https://www.aaos.org/globalassets/quality-and-practice-resources/glenohumeral/gjo-cpg.pdf