Presentation
It usually presents as a monoarthritis. It is generally located in the knee and secondary to lung cancer. Prognosis is poor, with a mean survival term of less than six months. [ncbi.nlm.nih.gov]
Click to enlarge Figure 1 - Age at the time of presentation for degenerative joint disease Click to enlarge Figure 2 - Age at the time of presentation for rheumatoid arthritis Click to enlarge Figure 3 - Age at the time of presentation for capsulorraphy [orthop.washington.edu]
Entire Body System
- Fever
You should see your doctor if: you have shoulder pain after a fall or accident your pain does not settle down or starts getting worse, especially if you have pain when you are resting your shoulder you have symptoms such as losing weight, fever or night [arthritisaustralia.com.au]
You might also experience: tenderness and warmth in your joints a stiff feeling in your shoulders, especially in the morning rheumatoid nodules, which are bumps under your skin in your shoulders or arms fatigue, weight loss, or fever RA affects your joint [healthline.com]
Shoulder experts at MOR say common symptoms include: Pain Swelling and inflammation around affected joints Limited range of motion Overall fatigue, low-grade fever and loss of appetite Lumps or nodules beneath the skin Tenderness Overall feeling of stiffness [rushortho.com]
But an inflammatory arthritis such as RA is more likely to be suspected if the shoulder is red or swollen, other joints are affected, and the patient has fatigue or a fever,” he explains. [creakyjoints.org]
Associated symptoms of fatigue, generalized musculoskeletal pain, fever and malaise are common in the initial presentation of rheumatoid arthritis. [cancertherapyadvisor.com]
- Internal Bleeding
These medications can irritate the stomach lining and cause internal bleeding. They should be taken with food. Consult with your doctor before taking over-the-counter NSAIDs if you have a history of ulcers or are taking blood thinning medication. [healthsharehull.org.uk]
- Chronic Infection
If the infection is caught early, aggressive antibiotic treatment may save the components. A chronic infection that has been present for more that 6-12 weeks generally requires removal of the infected implant. [thesteadmanclinic.com]
In cases of a resistant organism, or subacute or chronic infections, debridement with prosthetic removal is required. Placing an antibiotic-impregnated spacer to maintain soft-tissue tension is preferable if humeral bone stock is adequate. [reference.medscape.com]
- Burning Pain
On the next day when he woke up, the severe pain in the right shoulder with limited movement, right upper extremity weakness and burning pain in the radial aspect of this extremity appeared. [ncbi.nlm.nih.gov]
- Recurrent Infection
[…] chondroplasty, synovectomy, loose body removal, humeral osteoplasty with excision of the goat's beard osteophyte, capsular releases, subacromial and subcoracoid decompressions, axillary nerve decompression, and biceps tenodesis arthrodesis indications paralysis recurrent [orthobullets.com]
Musculoskeletal
- Muscle Tenderness
During the physical examination, your physician will look for: Weakness (atrophy) in the muscles Tenderness to touch Extent of passive (assisted) and active (self-directed) range of motion Any signs of injury to the muscles, tendons, ligaments surrounding [ucsfhealth.org]
During the physical examination, the specialist will look for: Weakness (atrophy) in the muscles Tenderness to touch Extent of passive (assisted) and active (self-directed) range of motion Any signs of injury to the muscles, tendons, and ligaments surrounding [healthsharehull.org.uk]
During the physical examination, your doctor will look for: Weakness (atrophy) in the muscles Tenderness to touch Extent of passive (assisted) and active (self-directed) range of motion Any signs of injury to the muscles, tendons, and ligaments surrounding [orthoinfo.aaos.org]
- Right Shoulder Pain
(OBQ11.27) A 65-year-old man presents with chronic right shoulder pain and crepitus. On physical exam his rotator cuff strength is 5/5. He has pain with both passive and active range of motion. Radiographs are shown in Figures A and B. [orthobullets.com]
Face, Head & Neck
- Neck Swelling
Symptoms include: Pain in the back or top of the shoulder that sometimes extends to the neck Swelling Stiffness Limited range of movement A grinding or popping sound while moving the shoulder Causes and risk factors The cause of osteoarthritis is not [uihc.org]
Neurologic
- Myelopathy
These patients may have cervical spine pain and myelopathy, which can complicate the picture. The pain may be referred to the acromioclavicular (AC) joint, the subacromial bursa, or the glenohumeral joint itself. [reference.medscape.com]
Urogenital
- Polyuria
A 41-year-old male patient was admitted to the internal medicine department because of the general weakness, malaise, polydypsia and polyuria since several days. The initial blood glucose level was 780mg/dl. [ncbi.nlm.nih.gov]
Workup
Diagnostic Workup Classic physical exam findings Inspection of the shoulder can reveal swelling, erythema or a joint effusion. In cases of associated rotator cuff pathology muscle atrophy of the supraspinatus or infraspinatus can be seen. [cancertherapyadvisor.com]
Using them in the workup not only allows the shoulder function to be assessed reliably but also helps investigators compare results of different treatments, thus aiding in future improvements. [reference.medscape.com]
X-Ray
- Soft Tissue Calcification
Neuropathic arthritis Radiographs demonstrate significant bone destruction, soft-tissue calcifications, and occasionally, joint subluxation. Therefore, neuropathic arthritis may mimic septic arthritis. [reference.medscape.com]
Treatment
Treatment [ edit ] Treatment of shoulder arthritis is usually aimed at reducing pain; there is no way to replace lost cartilage except through surgery. [en.wikipedia.org]
Surgical Treatment for Shoulder Arthritis Our board certified shoulder surgeons use the latest in diagnostic and treatment techniques, whether your condition requires nonsurgical or surgical treatment. [reboundmd.com]
Shoulder arthritis, probably more than arthritis involving any other joint, requires prompt diagnosis and treatment to prevent loss of motion and function. [ncbi.nlm.nih.gov]
Prognosis
Prognosis is poor, with a mean survival term of less than six months. We report the case of a right shoulder joint metastasis from a bronchopulmonary squamous cell carcinoma in a 55-year-old male smoker. [ncbi.nlm.nih.gov]
Etiology
Introduction Definition glenohumeral degenerative joint disease characterized by damage to the articular surfaces of the humeral head and/or glenoid Etiology causes include primary osteoarthritis secondary arthritis Epidemiology incidence increases with [orthobullets.com]
Depending on the exact etiology, posttraumatic arthritis is characterized by osseous deformities and asymmetrical soft-tissue contractures. [reference.medscape.com]
The tenor as well as the location of the noise gives a clue to its etiology. For example a snapping scapula usually produces a low-pitched clunking similar to the noise produced when two sets of knuckles are rubbed against each other. [orthop.washington.edu]
Epidemiology
Introduction Definition glenohumeral degenerative joint disease characterized by damage to the articular surfaces of the humeral head and/or glenoid Etiology causes include primary osteoarthritis secondary arthritis Epidemiology incidence increases with [orthobullets.com]
Pathophysiology
Etiology causes include primary osteoarthritis secondary arthritis Epidemiology incidence increases with age more likely in patients over 60 OA more common in women 56% of patients who had primary anterior dislocation have arthrosis at 25 years follow up Pathophysiology [orthobullets.com]
Physical therapy Therapy does not significantly alter the pathophysiology or the natural history of inflammatory arthropathy. However, maintenance of range of motion and function is important, especially during periods of acute inflammation. [cancertherapyadvisor.com]
Prevention
Some vitamin supplements have been found to prevent further deterioration; glucosamine sulfate is an effective preserver of cartilage. [en.wikipedia.org]
Shoulder arthritis, probably more than arthritis involving any other joint, requires prompt diagnosis and treatment to prevent loss of motion and function. [ncbi.nlm.nih.gov]
These strategies help prevent muscle atrophy, frozen shoulder, and further joint degeneration. Stretching and strengthening exercises are particularly beneficial. [upwellhealth.com.au]
The Academy work group reached consensus with this recommendation, believing that the risk of not taking these preventive actions outweighs the risk of taking them. [sciencedaily.com]
Finally, as stated in an article published by NCBI, surgery may be an option as well to help control the pain and prevent further injury to the shoulder. [rheumatoidarthritis.org]