Knowing a little about the pathologies that affect the shoulder region
frozen shoulder
Several causes of shoulder pain cause functional incapacity of the arm, but I believe that the one that causes longer is Adhesive Capsulitis or Frozen Shoulder!!!!! This pathology occurs due to an inflammation of the capsule that surrounds the shoulder joint (as if it were a bladder that contains the joint and its lubricating fluid), and this inflammation does not yet have a well-established cause for its appearance...it may occur during treatment if tendonitis, post surgery and post trauma to the shoulder, but it also appears out of nowhere!!!! It affects more women over 40 years of age and presents with A LOT of shoulder pain and IMPORTANT limitation of movement. It is related to usp of controlled medications and Diabetes, but not in a defined way, and its treatment includes the use of analgesic and anti-inflammatory medications, physiotherapy and even surgeries...but the most important thing is to make an early diagnosis...and be patient, as it is a disease that can take months until its full establishment...
Calcification in Shoulder Tendons
Disease known as Calcareous Tendinitis, characterized by the presence of calcium crystal deposits in the internal region of the tendons that move the shoulder (rotator cuff), a disease caused by an inflammatory process that progresses to this calcification (without a fully defined cause) leading to a clinical condition of intense pain, of rapid onset, during shoulder movement and, also at rest, which leads the patient not to move the shoulder. The treatment starts with the use of medication to relieve pain and physiotherapy, sometimes this treatment does not solve the problem and the patient must undergo surgical treatment, performed by arthroscopy (surgery with the aid of a camera!!!). In the initial picture of severe pain in the shoulder quickly, one should always look for an orthopedist for a correct diagnosis and treatment.
Shoulder Pain.... What do I have??? ...BURSITE
One of the places with the greatest increase in complaints, in an orthopedist's office, is SHOULDER PAIN. Several pathologies cause pain in the shoulder, region of the Deltoid and Trapezius muscle, and they can all originate in the shoulder!!!!! Therefore, to know the origin of this pain, a history of this pathology, with time of appearance, location, when there is pain, if there is a history of trauma, or if something causes it, is extremely important to discover the cause of this pain and its realization of treatment. People who have shoulder pain of spontaneous onset, with pain when elevating the arm, without tingling, which worsens with physical activity, and presents with nighttime pain, most likely present with inflammation of the Rotator Cuff Tendons, especially of the tendon that elevates the arm (supra-spinatus), and the main cause of this inflammation is Impact Syndrome. This syndrome is caused by repetitive trauma between the tendon that elevates the arm (supra-spinatus) with the lower part of the bone that outlines our shoulder (acromion), causing very severe and often disabling pain. Between this tendon and this bone, there is a protective pocket (bursa), in an attempt to avoid major trauma, for this reason the inflammatory process of this tendon is accompanied by the famous BURSITE... Usually the treatment is performed with rest, using medication anti-inflammatory and physiotherapy, but infiltrations and even surgery can be performed in extreme cases.
Cuff Injury
The shoulder joint has a very wide range of motion, which occurs due to the characteristics of its joint and the presence of a muscle group that involves the upper part of the humerus (arm bone). This muscle group is called the Rotator Cuff, and the tendons of these muscles attach to the humeral head. Formed by the Subscapularis, Supraspinatus, Infraspinatus and Redondo minor muscles, these are the muscles that allow great mobility performed by the shoulder. Due to excessive movement, trauma or degeneration over time, the cuff tendons may rupture, where the patient presents: Pain on shoulder mobility; Night pain; Loss of strength in certain shoulder movements. These injuries are diagnosed by ultrasonography or magnetic resonance, the latter being the best to assess the size of the lesion and tendon involvement. Cuff injuries can be treated non-surgically (small partial injuries or when the patient does not have the clinical condition to be operated) or surgically (better treatment in the vast majority of injuries), so when making the diagnosis of CUFFER INJURY, you should seek a shoulder and elbow surgeon to guide the best treatment.
What is SLAP???
The shoulder joint is mainly formed by the area comprising the arm bone (humerus) and a part of the scapula bone (glenoid), this joint is called the glenohumeral joint. The glenoid has a "frame" called LABIO OR LABRUM GLENOIDAL, where the ligaments of the shoulder are attached, and in its upper portion it fixes the tendon of the long cable of the biceps. The lesion in this superior region of the glenoid labrum near the insertion of the long head of the biceps is called SLAP. It is usually a pathology of young patients who perform physical activity and have pain in the shoulder that radiates to the arm, and its diagnosis is made with an ARTHRORESSONANCE. This pathology has 4 degrees, and must be treated according to these classifications, and can be treated with medication and physiotherapy and even with the need for surgery.
Shoulder Arthroscopy
What is arthroscopy??? Arthroscopy is a surgical method that allows orthopedic surgeons to diagnose and treat joint injuries in a minimally invasive way. Shoulder arthroscopy is performed to treat various injuries that affect the tendons (cuff), ligaments (dislocations) and cartilage (arthrosis). Performed with the aid of a camera (arthroscope) and arthroscopy instruments (shaver, ablation, anchors, etc...) that enter the shoulder joint through small incisions, called portals, which allow a wide view of the joint and the possibility to treat a large number of shoulder diseases (not used in the placement of prostheses and treatment of large fractures), with less aggression to the joint and structures that involve it (muscles, ligaments, tendons, etc...). When the patient has shoulder pathology that is indicated for arthroscopic treatment, this surgical technique is often indicated.
My Shoulder Shifts!!!
When the shoulder dislocates we call it Shoulder Dislocation, and when this occurs repetitively we call it Recurring Shoulder Dislocation. This pathology occurs mainly in young individuals and the initial way to treat it is to put the shoulder in place. Definitive treatment depends on whether the shoulder dislocated spontaneously (WITHOUT TRAUMA) or after severe trauma, as spontaneously we can treat it without surgery, whereas in traumatic form the chance of maintaining shoulder displacement is very high and must be treated surgically in most cases. Age is another factor, as the younger the shoulder dislocates, the greater the chance of continuing to dislocate, so it should be treated as soon as the first episode this occurs.
Shoulder Fracture
Fractures that occur in the shoulder occur in the upper (proximal) region of the humerus (arm bone), it occurs mainly in elderly people (over 65 years old) with falls from their own height, or in young patients it occurs in high-energy trauma (more violent), such as car accidents. Its treatment depends on how much the fracture parts are deviated (separated), and it can be done non-surgically or surgically, with placement of metal pins, plates or even requiring the placement of a prosthesis, the most important thing is to follow medical guidelines for better treatment and evolution of this fracture. .
Shoulder arthrosis
Arthrosis is a very common pathology in people over 65 years of age, it can also occur in the shoulder. As the shoulder is a joint that does not "carry" our body (like the knee and hip), it has a lower incidence of this pathology, but those who suffer or have suffered from shoulder arthrosis know how disabling this disease is. The treatment for shoulder arthrosis is the performance of a PROSTHESIS, which is nothing more than a replacement of the natural joint by a mechanical one, but there are several types of prosthesis that can be performed, look for a specialist to identify the cause of wear and indicate the best prosthesis for your case.
My Collarbone Got Out of Place
In fact, the clavicle continues in the same position, but your shoulder is the one that is lower, this occurs when we have a fall on the shoulder or with direct trauma in the region above the shoulder, causing a pathology called ACROMIUM-CLAVICULAR LUXATION!! ! There is an incongruity between the clavicle and the acromion (the bone that outlines our shoulder!!!), and this incongruity occurs because there is a contusion or rupture of the ligaments that join the clavicle to the shoulder. The patient develops a lot of pain in the shoulder, especially the elevation, and in the more severe stages she presents a deformity, as if the tip of the clavicle were elevated. It has mobility in the clavicle (key sign), and the deformity disappears when the shoulder is raised towards the clavicle. The treatment depends on the severity of the incongruence of the joint between the clavicle and the acromion, and it can be treated without the need for surgery (using a sling) or with surgery in the most serious cases....at the slightest sign of this pathology, look for an orthopedist. Diagnosis is made with clinical examination and radiographs of the shoulder.