Because periarthritis of the shoulder is more common in the left arm of women around 50 years old, it is also called frozen shoulder. This type of disease has a tendency to heal. Its pathological basis is a widespread diffuse radiculitis reaction produced in the soft tissue around the articular cartilage, which causes widespread adhesion of the soft tissue around the shoulder dislocation, seriously affecting the movement of the shoulder dislocation. In clinical medicine, it is manifested by long-term shoulder pain and movement restriction. Most patients have chronic onset of the disease, and some cases have a history of trauma, and gradually develop pain in the external rotation of the shoulder dislocation. The pain can be dull or stabbing, worsening at night and making it difficult to fall asleep, and can radiate to the elbows, neck, and back. During physical examination, there may be tender points under the acromion, coracoid process, supraspinatus adhesion, or biceps long head tendon. The movement of the shoulder dislocation in all directions is significantly restricted, with more obvious obstructions in abduction, external rotation, and extension. Elderly patients may suffer from deltoid muscle atrophy, and the prognosis is good if treated with technical and physical therapy methods. The symptoms of frozen shoulder include shoulder pain, limited shoulder dislocation movement, fear of cold around the shoulder dislocation, tenderness in the shoulder dislocation part, spasm or contracture of the muscles around the shoulder dislocation, deltoid and supraspinatus. The shoulder pain is paroxysmal, chronic, and recurrent, and the pain is aggravated by external hot and cold stimulation and fatigue. The pain radiates to the entire neck and upper limbs, especially around the wrist. The pain is sometimes significantly worse when the shoulder is bumped or extended. The pain is lighter during the day and heavier at night, which is also a major characteristic of this disease. The activities are restricted. The external rotation, horizontal raising, internal rotation and external rotation of the shoulder dislocation are all significantly restricted, which affects the patient's daily life functions. For example, it is difficult to comb the hair, dress, wash the face, and put hands on the waist. Severe cases will affect the wrist function. Some patients will have obvious tenderness around the shoulder dislocation, including the adhesion of the long head tendon, subacromial process, coracoid process, and supraspinatus tendon. Therefore, the symptoms and clinical symptoms of shoulder dislocation are relatively typical and established. |
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