The main joint of the shoulder is the joint between the head of the humerus the upper arm bone, and the glenoid cavity of the scapula the shoulder blade. This is a ballandsocket type of joint. Shoulder arthritis refers to loss of cartilage on the surface of the humeral head and the glenoid of the shoulder joint. The two bones rub against each other and produce pain, stiffness and difficulty moving an arm. Types of shoulder arthritis include: Osteoarthritis also called degenerative joint disease is the quot;wear and tearquot; condition of the joint, commonly due to old age. Osteoarthritis is characterized by loss of cartilage, bone spurring and NO major inflammation.
Rheumatoid arthritis â€“ is a result of inflammation of the synovium the membrane that encloses the joint. Inflammation brings in the cells of the immune system, whose inflammatory chemicals damage and destroy the joint. It is not clear how rheumatoid arthritis starts but genetic predisposition together with infection of the joint are likely to be among the causes. Rotator cuff arthropathy or cuff tear arthropathy is shoulder arthritis AS A RESULT and IN A SETTING of rotator cuff tears. Rotator cuff muscles hold the ball and the socket together and prevent the humeral head from moving out of the socket when the person raises an arm. In people with torn rotator cuff, the head of the humerus moves upwards and rub onto.
The acromion. This causes damages to the covering cartilage and eventually arthritis. Combination of cuff tear and arthritis is a devastating condition that seriously impairs functions of the shoulder joint. Posttraumatic arthritis â€“ is arthritis that develops after physical injury to the joint. Chondrolysis sudden loss of cartilage that happens occasionally after a shoulder surgery, commonly seen in association with infusion of local anesthetics into the joint for pain management.
Shoulder Arthritis Symptoms and Treatment QA
My name is Uma Srikumaran. I’m an orthopedic surgeon with Johns Hopkins and Howard County General . I specialize in shoulder surgery. Shoulder arthritis refers to degeneration of the lining of the joint. The lining of the joint is made of smooth cartilage that can wear out over time or can be diseased by inflammatory conditions such as rheumatoid arthritis or from a traumatic condition or posttraumatic arthritis after a shoulder dislocation. The typical wear and tear arthritis is called osteoarthritis.
Pain is the most common symptom of shoulder arthritis. Pain can occur throughout the day and worsen with certain activities. ing and catching may also be noticed coming from the shoulder. As arthritis progresses the pain and stiffness will progress as well. Nonsurgical treatment for shoulder arthritis includes simple measures such as rest and activity modifications or avoiding activities that are painful for your shoulder. Nonsteroidal antiinflammatory medications can also be beneficial for pain relief.
Other options include icing, physical therapy and cortisone injections that may also provide symptomatic relief. When nonsurgical treatments fail to provide pain relief over a period of time or the pain becomes unbearable, surgical shoulder replacement surgery is an option. The goals of shoulder replacement surgery are pain relief as well as improved function so you may resume everyday activities. The surgery is performed under general anesthesia often with a nerve block.
And involves an open incision in front of your shoulder. The arthritic bone is carefully removed along with scar tissue and a metal prosthesis and a plastic component are inserted to recreate the ball and socket joint of the shoulder. Recovery after shoulder replacement surgery involves a one to two day admission. After this, an outpatient physical therapy program is performed usually beginning at two weeks after surgery and extending for several months. During this period patients are provided pain medications. Physical therapy will progress over several months. At first the therapist will.
Guide the patient on passive range of motion exercises followed by active range of motion exercises in which the patient performs themselves. After a range of motion has been restored, strengthening exercises can begin.