Wednesday, March 2, 2016

Frozen Shoulder

Frozen shoulder is a chronic aseptic inflammation around the shoulder joint muscles, tendons, bursa and joint capsule and other soft tissue. Leading to joint inflammation and outside the adhesion, thus affecting the shoulder joint activities. Disease is characterized by its extensive, that a wide range of pain, limited function widely, tenderness widely. Frozen full name is inflammation around the shoulder joint, the disease occurs in people 50 years or so, so called frozen shoulder. Because after illness, it can not exercise the shoulder, as if frozen or coagulated, so called frozen shoulder; shoulder coagulation disorder.
symptom:
1. shoulder pain: At first when the shoulder pain was paroxysmal, the majority of chronic seizures, pain after pain gradually increased, or Dayton, or knife-like pain, and was persistent, climate change or after exertion, often make the pain worse, to the neck and upper limb pain can be (especially elbows) spread, impact or when accidentally pulling the shoulder, often can cause tearing pain, back pain day and night, light weight is a major feature of this disease, most patients often He complained of pain woke up late at night, not to sleep soundly, especially not to the ipsilateral side, this situation is due to blood deficiency caused by more obvious; Ruoyin catch cold caused the pain who are particularly sensitive to climate change.
2. shoulder mobility: the shoulder in all directions activities can be restricted, except for exhibition, on the move, and external rotation is more evident, with the progress of the disease, due to the long disuse caused by adhesions and shoulder joint capsule of soft tissue, decreased muscle strength, coupled with shorter beak of the brachial ligament fixed in internal rotation position and other factors, so that the shoulder in each direction of active and passive activities are limited, when the typical abduction; carry shoulder; phenomenon, especially the hair, dressing, face, hips and other actions are difficult to complete, severe elbow function can also be affected elbow when the hand can not touch the ipsilateral shoulder, especially in the arm elbow operation can not be completed when stretched.
3. cold: cold shoulder patients, many patients throughout the year with a shoulder pad package, even in the hot summer day, the shoulder did not dare hair.
4. tenderness: the majority of patients around the shoulder joint can be touched obvious tenderness, tenderness points long head of biceps tendon in the brachial ditch. Subacromial bursa, coracoid process, the supraspinatus muscle attachment points, etc.
5. muscle spasm and atrophy: early muscle around the shoulder deltoid, supraspinatus muscle spasm can occur, etc., may occur late disuse muscle atrophy, there acromion processes, on the move inconvenience, and other typical symptoms after bending unfavorable, then the pain but to alleviate the symptoms.
6.X line and laboratory tests: routine radiography, mostly normal, late of osteoporosis seen in some patients, but no bone destruction, calcification can be seen in the subacromial shadow. Laboratory tests were normal.

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