Shoulder pain

Department of Medicine: Orthopedics, Pain, Spine Surgery, Hepatobiliary Surgery, Rehabilitation

Qiu Yong Medical Codex Panel

Director of the Gulou Hospital affiliated with the Nanjing University School of Medicine

National Director of the Chinese Society of Rehabilitation Medicine's Specialized Committee on the Spine and Spinal Cord, and Chairman of the China Scoliosis Research Society

Overview of Causes

Causes

Diagnosis and treatment routine

There are many causes of shoulder pain, and the most common causes are localized bone or soft tissue diseases of the back of the shoulder, as well as diseases of the organs radiating to the back of the shoulder and tumors metastasizing to the back of the shoulder to cause pain.

Disease factors

Shoulder itself

Inflammation

including frozen shoulder

, subacromial and subdeltoid bursitis, joint inflammation of the shoulder, sternoclavicular, acromioclavicular and glenohumeral joints, as well as inflammation of tendons.

Joint dislocations

such as subluxation of the humeral head, acromioclavicular and sternoclavicular joints.

Tendon injuries

such as supraspinatus tendonitis, supraspinatus tendon tears (partial or complete), others are rotator cuff tears, biceps longus tendon tears.

Muscle injuries

include muscle strain, myositis, hematoma, muscle rupture (partial or complete), and rheumatic polymyopathy.

Fractures

Includes fractures of the humeral neck, scapula, and clavicle

Nerve compression

Includes compression of the nerve by the trapezius muscle (trapezius syndrome), impingement of the nerve by fractures of the first rib and the clavicle (costal clavicle syndrome), and complex regional pain syndrome (shoulder-hand syndrome).

Shoulder tumors

In addition, shoulder pain can be caused by improper treatment of shoulder disorders and their complications and sequelae.

Extra-shoulder causes

Cardiovascular

such as angina pectoris caused by coronary artery disease, hypertrophic cardiomyopathy

Lungs and pleura

including pleurisy

, pneumonia

, tuberculosis, pneumothorax

or lung cancer at the top of the upper lobe

, known as Pancoast Syndrome.

Spleen

includes splenic infarction, splenic rupture

Diaphragm

includes subdiaphragmatic abscess, exudative peptic ulcer

Liver and gallbladder

includes cholelithiasis, cholecystitis

, hepatitis

, cirrhosis of the liver

or hepatocellular carcinoma

, and ruptured liver.

The pancreas

includes pancreatitis

, tumors, and pseudocysts.

Nerves

Includes herpes zoster

, brachial plexus neuritis, thoracic spine tumors, myelitis

, cervical spondylosis

, and other conditions.

Environmental factors

Traumatic: shoulder fracture, dislocation or soft tissue injury caused by various direct or indirect violence, muscle tension

Lifestyle

Long-term over-activity, poor posture, and abnormalities of local structural development of the shoulder joint can lead to chronic injuries of the shoulder.