Arthropathies (shoulders)

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Arthropathies (shoulders)

Non-traumatic shoulder pain is most common in middle-aged women. These are most often caused by inflammations such as

• bursitis,
• enthesitis,
• capsulitis and even
• frozen shoulder or

 

degenerative, e.g.

• (partial) rotator cuff rupture/tear
• osteoarthritis in the acromioclavicular joint
• osteoarthritis in the shoulder (ormathrosis)

 

These arthropathies are usually treated conservatively (with physiotherapy, analgesics, antiphlogistics). To contain the inflammation, an infiltration into the joint may be indicated (intraarticular), e.g. with glucocorticoids and local anesthetics, with hyaluronic acid, or ACP. Extracorporeal shock wave therapy may also be very helpful. If all these measures have been exhausted, a surgical therapy needs to be considered, either arthroscopically or open, including joint replacement.