What is the difference between scapulohumeral periarthritis and scapulohumeral periarthritis?

Scapulohumeral periarthritis and scapulohumeral periarthritis are both common diseases. Scapulohumeral periarthritis is generally caused by shoulder joint pain, which manifests as limited shoulder movement, seriously affecting people's daily life and work. Scapulohumeral periarthritis is mostly an inflammation caused by irritation of the synovial membrane, which is a joint disease. Scapulohumeral periarthritis is generally easily confused with cervical spondylosis. Whether it is scapulohumeral periarthritis or scapulohumeral periarthritis, we must treat it in time and keep a happy mood during the treatment, which is conducive to the recovery of the disease.

What are the symptoms of scapulohumeral arthritis?

1) Shoulder pain: At first, the shoulder pain is paroxysmal, most of which are chronic. Later, the pain gradually intensifies or becomes sudden, or knife-like, and is continuous. The pain is often aggravated by climate change or fatigue. The pain can spread to the neck and upper limbs (especially the elbows). When the shoulder is accidentally hit or pulled, it can often cause tearing pain. The shoulder pain is lighter during the day and heavier at night. This is a major feature of this disease. Most patients often complain of waking up in pain in the second half of the night and being unable to fall asleep, especially unable to lie on the affected side. This situation is more obvious in those caused by blood deficiency. If the pain is caused by cold, the patient will be particularly sensitive to climate change.

2) Limited movement of the shoulder joint: The movement of the shoulder joint in all directions may be limited, and it is more obvious in abduction, elevation, internal and external rotation. As the disease progresses, long-term disuse causes adhesion of the joint capsule and the soft tissues around the shoulder, and the muscle strength gradually decreases. In addition, the coracohumeral ligament is fixed in a shortened internal rotation position and other factors, which restrict the active and passive movement of the shoulder joint in all directions. When the shoulder joint is abducted, the typical "shoulder carrying" phenomenon occurs, especially combing the hair, dressing, washing the face, and putting hands on the waist are difficult to complete. In severe cases, the function of the elbow joint may also be affected. When the elbow is flexed, the hand cannot touch the shoulder on the same side, especially when the arm is extended backward, the elbow flexion movement cannot be completed.

3) Fear of cold: The affected shoulders are afraid of cold. Many patients wrap their shoulders with cotton pads all year round. Even in summer, they dare not let the wind blow on their shoulders.

4) Tenderness: Most patients can feel obvious tenderness points around the shoulder joint, most of which are in the tendon groove of the long head of the biceps brachii. There are some places such as the subacromial bursa, coracoid process, supraspinatus muscle attachment point, especially the tendon groove of the long head of the biceps tendon. A few people show widespread tenderness in the soft tissue around the shoulder, and it is rare to have no tenderness points.

5) Muscle spasm and atrophy: The deltoid muscle, supraspinatus and other muscles around the shoulder may experience spasm in the early stage, and disuse muscle atrophy in the late stage, with typical symptoms such as acromion protrusion, difficulty in lifting, and difficulty in bending backward. At this time, the pain symptoms are relieved.

6) X-ray and laboratory examinations: Conventional radiographs are mostly normal. In the later stages, some patients may have osteoporosis, but no bone destruction. Calcification shadows may be seen under the acromion. Laboratory tests were mostly normal.

First, shoulder pain: In the early stage, the shoulder has paroxysmal pain, most of which are chronic attacks. Later, the pain gradually intensifies or becomes sudden and continuous. The pain is often aggravated by climate change or fatigue. The pain can spread to the neck and upper limbs (especially the elbows). When the shoulder is accidentally collided or pulled, it can often cause tearing pain. Shoulder pain is lighter during the day and heavier at night. It is a major feature of this disease. Most patients often complain of waking up in pain in the second half of the night and being unable to fall asleep, especially unable to lie on the affected side. This situation is more obvious in those caused by blood deficiency; if the pain is caused by cold, the patient will be particularly sensitive to climate change.

Secondly, the movement of the shoulder joint is limited: the movement of the shoulder joint in all directions may be limited, and it is more obvious in abduction, elevation, internal and external rotation. As the disease progresses, long-term disuse causes adhesion of the joint capsule and soft tissues around the shoulder, muscle strength gradually decreases, and the coracohumeral ligament is fixed in a shortened internal rotation position. The active and passive movements of the shoulder joint in all directions are restricted. In severe cases, the function of the elbow joint may also be affected. The hand cannot touch the shoulder on the same side when the elbow is flexed, especially when the arm is extended backward, the elbow flexion movement cannot be completed. Again, fear of cold: The affected shoulders are afraid of cold, and many patients wrap their shoulders with cotton pads all the year round. Even in summer, they dare not let the wind blow on their shoulders. Moreover, most patients can feel obvious tenderness points around the shoulder joint, most of which are in the tendon groove of the long head of the biceps brachii. Finally, spasm and atrophy of the posterior muscles: The deltoid, supraspinatus and other muscles around the shoulder may experience spasm in the early stages, and disuse muscle atrophy in the late stages, with typical symptoms such as acromion protrusion, difficulty in lifting, and difficulty in bending backward. At this time, the pain symptoms are actually alleviated.