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A Case-Based Approach to Shoulder PainOsteoarthritis

A Case-Based Approach to Shoulder Pain: Osteoarthritis [Osteoarthritis is a common etiology for chronic shoulder pain. It has a similar disabling impact as osteoarthritis in weight-bearing joints such as the hip and knee. The anatomical locations typically affected are the acromioclavicular joint (ACJ) and glenohumeral joint (GHJ). The disease process primarily affects the cartilage of the joint. Cartilage destruction becomes progressive secondary to the loss of balance between degradative and non-degradative enzyme activity. Risk factors for developing shoulder OA include previous shoulder joint pathology, prior shoulder surgery, obesity, aging, mechanical forces related to exercises and occupation, and genetics. Patients will typically present with chronic, deep shoulder pain, exacerbated by activity. Crepitus and locking can occur in later stages of disease, as well as decreased range of motion. Physical examination and radiographic imaging are important for diagnosing shoulder osteoarthritis. Conservative, nonoperative treatments include physical therapy and oral and topical medications (first tier). Injections with viscosupplementation, corticosteroids, and/or orthobiologics are considered second tier, conservative management. Surgery is usually indicated for patients who have failed conservative treatment and have functionally declined.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A Case-Based Approach to Shoulder PainOsteoarthritis

Editors: Harounian, Jasmin; Cooper, Grant; Herrera, Joseph E.; Curtis, Scott
Bolds, Aaron
A Case-Based Approach to Shoulder Pain — Jan 1, 2023
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References (1)

  • G Farrell (2019)

    395

    Shoulder Elbow, 11

Publisher
Springer International Publishing
Copyright
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023
ISBN
978-3-031-17304-2
Pages
75 –85
DOI
10.1007/978-3-031-17305-9_6
Publisher site
See Chapter on Publisher Site

Abstract

[Osteoarthritis is a common etiology for chronic shoulder pain. It has a similar disabling impact as osteoarthritis in weight-bearing joints such as the hip and knee. The anatomical locations typically affected are the acromioclavicular joint (ACJ) and glenohumeral joint (GHJ). The disease process primarily affects the cartilage of the joint. Cartilage destruction becomes progressive secondary to the loss of balance between degradative and non-degradative enzyme activity. Risk factors for developing shoulder OA include previous shoulder joint pathology, prior shoulder surgery, obesity, aging, mechanical forces related to exercises and occupation, and genetics. Patients will typically present with chronic, deep shoulder pain, exacerbated by activity. Crepitus and locking can occur in later stages of disease, as well as decreased range of motion. Physical examination and radiographic imaging are important for diagnosing shoulder osteoarthritis. Conservative, nonoperative treatments include physical therapy and oral and topical medications (first tier). Injections with viscosupplementation, corticosteroids, and/or orthobiologics are considered second tier, conservative management. Surgery is usually indicated for patients who have failed conservative treatment and have functionally declined.]

Published: Jan 1, 2023

Keywords: Shoulder; Osteoarthritis; Acromioclavicular joint; Glenohumeral joint; Shoulder pathology; Orthobiologics; Viscosupplementation; Shoulder arthritis

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