Periarthritis more to one side, the left side than the right prevalent, a few patients with Guillain-style morbidity. The issue of age and shoulder periarthritis serious degeneration of the same age. Shoulder injury history is the history of the cold external fixation or had local history, the history of hemiplegia, and the incidence of those incentives, if any.

The main symptoms of shoulder pain, muscle weakness and dysfunction. The most obvious symptoms of pain, pain and the degree and nature have a greater difference, or were pain, or knife-like, lasting, add night pain, pain and even warns that affects sleep.

This persistent pain can lead to muscle cramps, muscle cramps and some light, some heavy. be confined to the shoulder pain and muscle cramps, upward after radiotherapy to the head, wrists and fingers reach down. Some post-radiotherapy to the scapula forward to the chest; Some three - to radiotherapy or radiotherapy to the deltoid muscle. The radial forearm muscle through a wide range periarthritis point tenderness, Different parts and tenderness due to the degree of tenderness point is also inconsistent.

In addition, muscle cramps caused by muscle pain and tenderness different location, it can also distinguish between the disease and the disease diagnosis. If left chest muscle pain and tenderness, should be considered in the diagnosis of cervical disease. Different period, the extent of inconsistency shoulder disorders, from mild dysfunction of the joints completely disappear. Periarthritis by the occurrence and development can be broadly divided into three phases, namely, acute, chronic and recovery. No clear boundaries between each period, the period of duration varies varies significantly.

¢Ù periarthritis : This is the early acute phase. Spontaneous shoulder pain, persistent pain and often, mixed. Some acute, but the majority of chronic pain, and some only feel comfortable and shoulder restraints feeling. Limited to the first multi-lateral shoulder joint pain can be extended to the deltoid muscle just arrived, often involving meat shoulder blade shoulder, upper arm and forearm. Activities, such as wearing T-shirt at the shoulder-shrugging, increased pain or shoulder internal rotation, not comb the hair wash, we can not find the affected background. After shoulder pain increased rapidly, especially the night of the patients from the affected berth. Because muscle spasm and pain, reduce the scope of activities of the shoulder began to emerge, particularly outreach and external rotation is the most notable restricted. Shoulder normal appearance. Local tenderness over a ditch located between the nodules, coracoid process. Deltoid muscle attachment or subacromial bursa, the supraspinatus muscle attachment, scapula anywhere within tuberosity.

Second period : chronic shoulder pain diminished or disappeared gradually, but steadily increasing rigidity of the shoulder was contracture; Frozen state; . Shoulder direction of the activities were reduced by 50% -20% compared with normal brachial serious shoulder joints completely disappeared, Only scapula chest wall joint activities. Comb the hair, dress, wings, were difficult to bring back unity. The elderly may be mild muscle atrophy disease, prevalent in the deltoid and shoulder shoulder blade muscle. Tenderness little or no tenderness, longer duration of time, usually 2 - 3 months.

¢Û recovery : shoulder disappeared, individual patients can have minor pain. Shoulder slowly lax joints have gradually increased, the first to resume activities in external rotation, internal rotation, following press activities and outreach. And the length of recovery in acute phase, the slow nature of the time period. The longer the period of freezing, the more slow recovery; Short duration of the disease, recover faster. 1-7 short course of the entire two months, the incidence could be another few years.

This article was posted on 2007-02-27