shoulder
Introduction
Introduction The shoulder of the computer is called shoulder periarthritis (now less used), commonly known as the frozen shoulder. It is a chronic injurious inflammation of the shoulder muscles, tendons, bursae and joint capsules. Due to hyperplasia, roughness and internal and external adhesions, it is clinically characterized by pain and function limitation during activity.
Cause
Cause
The cause of the disease is long-term operation of the computer, a good chronic injury that does not protect the shoulder joint, resulting in tissue damage around the shoulder joint. If you do not get effective treatment, it may seriously affect the functional activities of the shoulder joint and hinder daily life. In the early stage of the disease, the shoulder joint showed paroxysmal pain, which was often induced by weather changes and fatigue. Later, it gradually developed into persistent pain, and gradually increased, sputum light and heavy, night can not be paralyzed, can not lie on the side of the affected side, shoulder joint Active and passive activities in all directions are limited. When the shoulder is pulled, it can cause severe pain. The shoulder joint can be extensively tender and radiate to the neck and elbow, and there can be varying degrees of deltoid atrophy.
Examine
an examination
Related inspection
CT examination of scapular bone and bone in soft joints
Symptoms and signs
1. This disease is a long-term computer operator.
2. Gradually there is a pain in the shoulder, which is obviously related to movement and posture. As the disease progresses, the range of pain expands and involves the middle of the upper arm, with limited shoulder activity. If you want to increase the range of activities, there will be severe and severe pain. In severe cases, the affected limb cannot be combed, washed and buckled. Woke up at night by turning over and moving the shoulders. At the beginning of the patient, the pain point can be pointed out, and the later range is enlarged, and the pain is felt in the tibia.
3. Physical examination, the deltoid muscle has a slight atrophy, trapezius tendon. On-shoulder tendon, biceps brachii, short-head tendon and deltoid anterior and posterior margins can have significant tenderness. The extension of the shoulder joint, the external rotation, and the extension of the shoulder are the most obvious. A few people have limited internal and internal rotation, but less flexion.
4. If the age is older or the course of disease is longer, X-ray plain film can be seen on the shoulder osteoporosis, or the upper iliac crest and the scapular sac calcification sign.
Diagnosis
Differential diagnosis
Neck and shoulder fatigue and soft tissue pain: neck and shoulder syndrome, because the current young people work is a long-term computer and desk work, often maintain the fatigue caused by the passive position and soft tissue pain.
Common diseases and multiple diseases in middle-aged and elderly patients in cervical spondylosis are more common in patients over 60 years old. There are also many patients in the 40th and 50th and 20th and 30th years old. The reason why young people in their 20s and 30s really suffer from cervical spondylosis is mainly trauma. Most of the middle-aged and elderly people are caused by degenerative diseases of the cervical vertebrae. In addition to neck pain, patients with cervical spondylosis may have problems such as dizziness, hand numbness, and unstable walking. The physical therapy of taking medicine is not obvious.
Shoulder and joint pain: shoulder pain is the main stage in the acute phase; shoulder joint dysfunction is the main stage in the chronic phase. Shoulder joint pain, limited mobility, often can occur in the upper limbs lifting shoulders, internal rotation and back bending and other movement obstacles, affecting the daily movements such as combing hair, unbuttoning buckles. The tenderness of the shoulder is obvious. After a few months, the shoulder muscles are atrophied and calcification may occur.
Sustained severe shoulder pain: often caused by dislocation of the shoulder joint. There is a clear history of trauma.
Neck and shoulder pain: refers to headache, neck pain, shoulder pain, upper back pain, upper limb radiation pain and limb symptoms caused by spinal cord compression caused by neck disease.
Shoulder pain at night: refers to shoulder pain, limited activity, increased at night, often wake up and affect sleep. It can be caused by shoulder diseases such as frozen shoulder and shoulder impact syndrome. This symptom can also occur in shoulder bone tumors.
