In case of arthrosis of the shoulder joint, cartilage damage is observed, which causes limitation of shoulder leaning and pain syndrome. True arthrosis of the shoulder joint is rarely seen. Usually, the disease develops against a background of chondrocalcinosis, osteonecrosis, arthritis or is associated with a fracture.
The most common causes of the development of the disease are:
- heavy physical labor
- congenital defect of joint tissues
- metabolic disorder
The disease is prone to progressive flow. Symptoms of arthrosis of the shoulder joint in the later stages - deformity, as well as a violation of the functions of the upper limb. Often arthrosis of the shoulder joint is accompanied by a lesion of the acromial process of the scapula.
The initial stage of the disease can be asymptomatic for several months and even years. This is because the cartilaginous tissue is not provided with blood vessels and nerves. Disturbance of metabolism leads to the fact that the cartilaginous tissue loses its properties, begins to thin out.
Deformation of the cartilage entails pathological changes in bone tissue, the appearance of bone growths. Osteophytes further injure the articular surface and complicate the course of the disease. Deformation of the bone tissue can lead to complete blockage of the joint. It becomes immobile and turns into a whole bone structure.
Clinical manifestations at the initial stage of
The pathological processes occurring in the joint itself can be inconspicuous as long as it does not go beyond it. Depending on the stage of brachial arthrosis, the patient has characteristic symptoms. At the very beginning of the disease the patient feels uncomfortable aching pains of a non-permanent character in the shoulder region. At night, after hypothermia, or when weather changes, the pain may intensify.
The amplitude of movements noticeably decreases, it is difficult and painful to take the hand back. The patient may notice that we are quickly tired, even with little physical exertion. At this stage, recognizing the disease by clinical signs is difficult. The diagnosis can be made only after X-ray examination. In the image, the articular cavity of the shoulder joint has an annular shape.
In some cases, clinical manifestations of the early stage of arthrosis correspond to the stage of disease progression. The cause of this can be the state of the body. A prolonged course of the initial stage indicates that the body has time to compensate for pathological processes.
Symptoms in the progression stage
Physiotherapy for arthrosis
If in the initial stage of the disease the patient felt only a certain pain when moving in the joint, then with a progression of arthrosis there is a more pronounced pain syndrome. The pain becomes strong and extends to the area of the scapula. In some cases, there is swelling, an increase in local temperature in the joint area. Inflammatory processes that occur in the periarticular bag become another reason for the onset of pain syndrome.
Restriction of movements is due to muscle spasm. Any movement, leaning of the shoulder is difficult and accompanied by pain. Many can not connect their hands behind their backs. On X-ray images, there is a narrowing of the joint gap and the appearance of bony outgrowths( osteophytes).The articular surfaces become rough, which further injures the joint.
At a later stage of arthrosis of the shoulder joint, severe deformity and severe movement restriction are observed. The patient can only shake his hand back and forth. Raise your hand and take it back is no longer possible. The pain is permanent. Its localization can be both in the shoulder itself and spread all over the arm. Sometimes it can tingle and ache in the elbow joint. Temporary remission of the disease can be replaced by attacks of severe pain in the joint.
In the area of the blade and shoulder connection, bone protrusions are seen. Because of the painful syndrome, a person has to hold his hand in the most comfortable position. The forced position of the hand involves the muscles of the thoracic spine from the side of the affected joint. This leads to pain in the back and neck.
Most often, these symptoms are observed in individuals who, despite the joint damage, continue to load it physically. Therefore, at the first threatening signs of the disease - restriction of movements and pain, it is necessary to consult a doctor. The earlier the examination is performed and the therapy is prescribed, the greater the probability of avoiding disability.