According through the common definition, arthritis is the inflammation happening in your joints. Arthritis is derived from the Greek word, “arthron”, means business. “ITIS” probably originated in Latin, and refers to inflammation. While arthritis literally it means “joint inflammation,” it has come to refer to any of the business conditions in which there is damage to the smooth cartilage covering a surface movement of the part ( called articular cartilage), eventually leading to loss of cartilage, resulting in the final stages “bone on bone” of the joint surface, pain.
Together, the hip and knee and shoulder joint are the three most common parts of the body affected by arthritis. Shoulder joints, although they are not weight bearing, the cartilage loss is characteristic of shoulder arthritis is often a source of severe pain, stiffness and limited function. Shoulder arthritis can be a painful condition that hinders your mobile and the overall function of your shoulder.
- Anatomy of a normal shoulder
- Shoulder arthritis
- Post-traumatic Arthritis
- Avascular necrosis (osteonecrosis)
- Rotator Cuff Tear Arthropathy
- Diagnostics and inspection
Anatomy of a normal shoulder
The shoulder is made up of some connective bones, including three bones: the upper arm bone (humerus), shoulder your tongue (scapula), and your collarbone (clavicle).
The upper end of the humerus is a ball, called the head of the arms, which “rely against” the socket (glenoid) of the shoulder blade shoulder blade. A combination of the muscles and ligaments holding your humerus focus on your shoulder socket. The ligaments of the shoulder have the function of rotating the ball in socket (rotator cuff). Rotator cuff tendons four thus provide movement to the shoulders and stability, and can themselves injured, mutilated, and degradation (rotator cuff tear).
Considered as one of the most common shoulder arthritis forms, osteoarthritis is known as “wear and tear” arthritis, a chronic condition, causing the bones to rub together with the breakdown of cartilage cushion the bones, resulting in stiffness, pain and loss of movement in the joint. Projected bone, or spurs, may grow around the joints. After a trauma usually occurs shoulder osteoarthritis. This type of arthritis usually comes with age and can occur as a combination of the use, genetics, micro-trauma, and the increase in the sales force. It causes loss of cartilage protection to ordinary chemical structure of it, which is why we often refer to it as arthritis’ wear-and-tear “. When cartilage frayed and worn, worn away and finally disappeared, no longer a cushion to keep joints from rubbing together. Without this protective layer, the underlying bones are grinding together, causing pain.
Rheumatoid arthritis shoulder (RA) is another form of shoulder arthritis that usually happens. When the immune system of the body – which normally protects us from infections – mistakenly attacks the synovium (the joints of the body is covered with a lining, lubricate the joints and makes it easier to move) and thin-film lines the joints, leading to inflammation and joint membrane, eventually wear away the cartilage surface. Results can damage joints, pain, swelling, inflammation, loss of function and disability. The participation of rheumatoid arthritis generally is symmetric, causing feelings of both shoulders.
If you have shoulder rheumatoid arthritis, the following symptoms may not be surprised: tender and warm in your joints; a stiff feeling in your shoulders, especially in the morning; rheumatoid nodules, that is a collision under your skin in your shoulder or arm; fatigue, weight loss, or fever. RA affects your general mucosa and can cause swelling of the joints as well. It can cause the erosion of your scapula and shoulder joint deformity of your time.
The fact shows that a shoulder injury can be a cause of developing shoulder arthritis, called Posttraumatic arthritis, a form of osteoarthritis. This may be the result of a fracture of the ball or the socket, occurs the damage of the cartilage surface, dislocation, sports injuries or other types of trauma. PA’s shoulder can cause fluid to accumulate in the shoulder joint, pain and swelling. Since shoulder injuries are common due to the instability of the shoulder joint, shoulder injuries such as fractures and dislocated shoulders can eventually lead to cartilage surfaces to wear out and disappear, causing the PA. Sports injuries, fractures or dislocations of the shoulder and other accidents can also cause this condition.
Avascular necrosis (osteonecrosis)
A condition called avascular necrosis (AVN) or osteonecrosis is a painful condition that can lead to arthritis shoulders by destroying the tissues in your shoulder joint. It is the result of the interruption of blood flow to the shoulder. The interruption of blood supply to the bone results in the death and the collapse of shoulder bone for not containing blood. Because bone cells die without a blood supply, overlying cartilage is subject to the force causing the cartilage to become damaged as well. This can occur due to dislocations and fractures. It usually occurs in a bone near the joints, causing the collapse of the joint surface.
AVN is a progressive disease, are developed in stages, which means that this situation may have no symptoms initially, it worsens over time and can lead to inflammation of the shoulder joint. As it progresses, the bone collapses gradually die, causing cartilage damage including bone and lead to arthritis. At first, AVN affects only the head of the humerus, but as AVN progressed, the head of the humerus collapse could damage the glenoid socket.
The cause of AVN including high-dose steroid use, heavy drinking, sickle cell disease, and traumatic injuries, such as fractures shoulder. In cases that the cause cannot be determined, it is idiopathic AVN.
Rotator Cuff Tear Arthropathy
This form of shoulder arthritis usually affects shoulder as a result of a rotator cuff injury is not treated, such as a rotator cuff tear, contained in your shoulder, scapula connect from above your arm through a set of ligaments and muscles. When a confluence of four muscles and stability is the main driver of the shoulder joint are treated, the torn rotator cuff can no longer hold the head of the humerus in the glenoid socket. It can damage the surface of the bone and arthritis developing in your shoulder when damaged scapula. Patients with signs of rotator cuff arthropathy typically experience severe pain shoulder, muscle weakness and a reduced range of motion. The combination of a large rotator cuff tears and arthritis high levels can lead to severe pain and weakness, and the patient may not be able to raise the arm away from the side.
Treatment of arthritis shoulder cuff tear arthropathy due to exceptional difficulties can, because it is the result of damage to both support the joints and soft tissues of the joint surface.
Lupus is a chronic autoimmune disease, which means the body’s immune system to produce antibodies that attack healthy tissues, including joints, skin, heart, lungs, kidneys. The joints far from the body, such as the hands and feet, are often the most affected by lupus. However, myositis often accompanies lupus affecting the shoulder arthritis
Diagnostics and inspection
With the progression of the symptoms of shoulder arthritis, regular inspections will show stiffness or loss of motion. Strength can be affected, and crepitus elicited as the arm is moved.
X-ray inspection photographed to create detailed images of dense structures, like bones. Usually an x-ray of shoulder arthritis will show the extent of the loss of articular cartilage and the presence of arthritis. Since cartilage does not show up on X-ray, in a normal business its presence is shown by a “space” between the ball and socket. When the cartilage is gone, the narrow space on the X-ray, and in the final stages, the bones of the ball can be seen directly against the bone cavity. Also, bone spurs (osteophytes) that developed around the joint margins seen in some forms of arthritis.
- CT scan
CT scan is a computer research that can be used to outline the bones of the shoulder joint in greater detail, while an MRI scan is a test, in which the area investigated lamb is placed with a magnetic. This provides information about the bone and cartilage, but its greatest use in proving the conditions of the surrounding soft tissues, especially the muscles and ligaments of the shoulder.
As was the case in the other match, the initial treatment of shoulder arthritis is usually not surgery. This may include:
Amended Activities: avoid activities that put the most stress on the arm, weight lifted by the arms involved, and try to change the sport for people that can put less stress relevant arm. Rest or changes in operations are necessary to avoid provoking pain. You may need to change the way you move your arm to do things
Temperature and humidity can make the arm more comfortable.
Ice freezes your shoulders: for 20-30 minutes two or three times a day, it can help reduce the inflammatory role, especially after playing sports or stress on the shoulder
Physical therapy: can play a role in maintaining or improving range of motion and strength, but can in some cases exacerbate the pain of arthritis – so its role must be rated revaluation if it is a source of aggravation of pain.
Nonsteroidal anti-inflammatory drugs (NSAIDs): aspirin or ibuprofen can be effective to reduce inflammation and pain for the use of irritating the stomach lining and causing bleeding. It is better to be taken with food. Prescription anti-inflammatory drugs are also available and can be more convenient in the dose is required. However, it has fewer side effects and is better tolerated by consult a doctor before taking over-the-counter NSAIDs in all cases.
Dietary supplements (include glucosamine or chondroitin sulfate). While some patients feel relieved with, there is little scientific evidence about the role and added value of the diet in the treatment of shoulder arthritis. Patients should consult before taking dietary supplements in any situations.
Injections of corticosteroids (cortisone) can help a role to treat inflammation in the joints. While it is usually less risk associated with an injection of cortisone general, the effect of it, if positive, could not last long. In addition, patients with diabetes may see a rise in blood sugar levels for a period of time changes after cortisone injection
If surgical treatment is not effective, your doctor may discuss surgical options:
Arthroscopy: This is a minimally invasive operation requires general anesthesia, in which a small camera is placed inside the joint through a small incision. Of shoulder arthroscopy to remove cartilage debris and bones of the joint (debridement) may play a role in early arthritis when there is little damage to the joint surface. This does not rule out shoulder arthritis, but may be helpful in removing loose pieces of tissue that are stimulants.
Shoulder joint replacement (arthroplasty): It is an activity, similar in concept to the hip or knee replacement, in which the plastic implants and metal is set to create a new joint surface. In this activity, which need an incision as with all open surgery, arthritis ball is removed and replaced with a metal ball (fake) that attaches to a metal stem that goes into the bone upper arm bone (similar to the way ice cream sitting on top of a cone). The socket joints are covered with a smooth plastic socket, also called prosthesis. It is a smooth metal ball moving on the slippery plastic socket to relieve pain. Shoulder replacement operations are the most popular include:
Hemiarthroplasty: the ball is replaced but not the socket. This most used in situations where the articular cartilage of the socket is normal or showed minimal damage, and rarely used more than a complete replacement of the shoulder.
- Reverse total shoulder arthroplasty. In total reverse shoulder replacement, the socket and metal ball are facing some common shoulder joint surgery. The metal ball is attached to the glenoid fixed and plastic cups are fixed to the upper end of the humerus.
- Total shoulder replacement: Both arthritis and arthritis ball socket for the new surface. Similar to a natural shoulder fake ball against the socket-based plastics, and depends on the patient’s own muscles and tendons (soft tissue) for motion and stability.
- Resection arthroplasty: The surgical procedure most commonly used to treat arthritis is a surgical acromioclavicular joint resection.
In this procedure, a small amount of bone from the end of the clavicle is removed, leaving a space which gradually fills the scars.
- Restoration and Rehabilitation
Because of the shoulder with the widest range of motion of any joint in the body, recovered from injury, trauma, or surgery are often supported by rehabilitation and physiotherapy, or is to improve or maintain motion, or to promote improved strength. Surgical treatments of shoulder arthritis take many advantages in easing pain and recover mobility.
Shoulder arthritis can be disabling and equality has a significant impact on quality of life. So the sooner they are diagnosed, the better the treatment. There are two methods of non-surgical treatment and effective surgery, depending on the severity and degree of disability, which makes this a disease that is compatible with a healthy and active life.