osteoarthritis of the shoulder

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

• X-ray of shoulder

Management

• NSAIDs, physical therapy, avoid opiates
• intra-articular glucocorticoid provides the most rapid pain relief
• acupuncture of no benefit
• joint injection with hyaluraonic acid of no benedit
• referral for shoulder arthroplasty
• see osteoarthritis

More general terms

• osteoarthritis (OA)