Periarthritis of the shoulder joint

Periarthritis of the shoulder joint refers to the degenerative lesions occurring at the site of attachment of the tendons to the bone. The subsequent course of the disease causes reactive inflammation in the affected tendon and nearby serous bags.

Periarthritis of the shoulder joint is often diagnosed and accounts for up to eighty percent of all shoulder cases that are rheumatic. This is due to the functional constant excessive strain of the tendons of the muscles, which is associated with the rotation and withdrawal of the shoulder. Excessive stress leads to an early onset of a degenerative process.

Periarthritis of the shoulder is most often observed in women after forty years. As a rule, it is right-handed, which is caused by microtraumatism and a greater load. However, in a number of cases there is a bilateral development of the disease.

Predisposing factors that are important for the development of the disease include staying in damp for a long time, cooling. Periarthritis of the shoulder joint can develop against the background of sciatica, spondylosis, neuropsychiatric disorders, arthrosis, and also in the presence of congenital deficiencies in the development of the upper portion of the shoulder girdle.

The main etiological factors are micro and macro-traumas. Periarthritis of the shoulder joint is also characteristic for persons suffering from coronary artery disease, often its manifestations are observed in the phase of subsidence or during an attack of angina. According to some observations, this degenerative lesion occurs in ten to fifteen percent of patients after myocardial infarction. Cervical spondylosis is also a common cause of the disease. The presence of radicular syndrome in this case explains the violation of trophism in the periarticular tissues of the shoulder. However, in a number of cases, degenerative lesion develops for no apparent reason.

There are simple, acute and chronic forms (stages) of the disease.

The most common form is simple periarthritis. It is based on an isolated tendon tendinitis of the subacute or supraspinous muscle. Clinically, this stage manifests itself in the form of small restrictions in the movement of the shoulder and moderate pain, which are localized in the anterior upper region. An unchanging symptom is the intensification or occurrence of pain in the performance of certain movements. As a rule, the patient is not able to raise his hand up and bring his fingers to the spine when trying to get her behind her back. Other movements a person commits freely. Painful sensations can appear at night.

The acute form can develop independently or be manifested as a simple complication. It is believed that the basis of its development is acute tendobursite, accompanied by calcification in the tendons. As a rule, after physical exertion, there is a manifestation of diffuse, increasing pain in the shoulder, resistant to analgesics. Usually it is accompanied by irradiation into the posterior region of the arm and neck. Sharp limb movements are observed.

The most unfavorable include the chronic form of lesion. As a rule, it is a consequence of acute, but it can arise independently. The most characteristic manifestation in this case is the progressive stiffness of the shoulder. There is a sharp violation of both the lead and its rotation.

Periarthritis of the shoulder joint. Treatment.

The main goal of therapy is the unloading of the affected tendon. In this case, anti-inflammatory and analgesic agents, balneotherapy are prescribed. In special cases, there is a need for surgical intervention.