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osteoarthritis of the shoulder
Etiology:
- see osteoarthritis Epidemiolgy:
- primary osteoarthritis of the shoulder is not common
Clinical manifestations:
- chronic pain in shoulders
- worse at night
- pain in upper arms
- difficulty with passive & active range of motion
- crepitus with movement of shoulders
Radiology:
- X-ray of shoulder
Management:
- NSAIDs, physical therapy, avoid opiates
- intra-articular glucocorticoid provides the most rapid pain relief
- acupuncture of no benefit [2]
- joint injection with hyaluraonic acid of no benedit
- referral for shoulder arthroplasty [2]
- see osteoarthritis
General
osteoarthritis (OA)
References
- NEJM Knowledge+ Rheumatology
- American Academy of Orthopaedic Surgeons.
Management of Glenohumeral Joint Osteoarthritis
Evidence-Based Clinical Practice Guideline. Published March 23, 2020.
https://www.aaos.org/globalassets/quality-and-practice-resources/glenohumeral/gjo-cpg.pdf