Humeroscapular rearthritis
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Description:
The humeroscapular periarthritis is a neurodystrophic inflammatory extraarticular disease of the soft tissues which are directly surrounding a shoulder joint.
Statistically, damage of a sinew of a supraspinal muscle vsrechatsya more often. It is connected with traumatization of her sinew at the movements in a narrow crack between a humeral shoot of a shovel and a head of a humeral bone. From all cases of morbidity of a shoulder joint the humeroscapular periarthritis meets in 80% of cases. This disease occurs at men more often than at women. For assessment of possible nosological forms of a disease also the age of the patient is considered. In an age group up to 30 years at people effects of injuries, and from not traumatic reasons – instability of a shoulder joint within a hyper mobile syndrome are the most often met reasons of defeat of the tendinous device. At patients of more advanced age (40 years are more senior) primary and degenerative process in sinews of a muscular cuff of a shoulder is the most probable cause of pain.
Symptoms of the Humeroscapular periarthritis:
The humeroscapular periarthritis is characterized by a resistant pain syndrome and a muscular contracture in a shoulder joint. Defeat in area of the right shoulder joint meets more often (it is characteristic of prvshy). Pain is more often the constant aching, aching. As a rule amplifies at night. The pain syndrome at a humeroscapular periarthritis amplifies at certain movements of an upper extremity – assignment of a hand aside or a hand institution for a back.
Pain can extend on a hand, and also to cervicooccipital or scapular areas. Because of pain the patient cannot often lay down on the struck party. Restriction of mobility in a shoulder joint arises both because of pain, and because of a muscular contracture.
At a palpation of fabrics in the affected joint tension and morbidity of muscles is defined. At certain experience, it is possible to define local consolidations and nodules in a muscle. Existence of morbidity in places of an attachment of sheaves and sinews is also characteristic. The shoulder swelling can be determined by the anterolateral surface of a shoulder.
Reasons of the Humeroscapular periarthritis:
The main factor of development of this suffering – osteochondrosis of cervical department of a backbone. For this reason, the humeroscapular periarthritis is considered as a neurodystrophic syndrome at various degenerative and dystrophic processes in cervical department of a backbone.
Also development of a humeroscapular periarthritis is promoted by the following factors:
* frequent microtraumatization of sinews. It can be connected with specifics of work (the builder, the turner, the plasterer), active trainings (boxing, tennis, javelin throw, etc.).
* disbolism (obesity, diabetes mellitus).
* endocrine disturbances at women in a climacteric.
* diseases of a liver and gall bladder.
* diseases of peripheral vessels.
Treatment of the Humeroscapular periarthritis:
It is desirable to begin treatment of a humeroscapular periarthritis as soon as possible until the disease is started. The most effective method of treatment of this disease – extracorporal shock and wave therapy. The method of shock and wave soothing therapy allows the doctor to carry out purposeful impact on the disease center, without injuring at the same time skin and soft tissues. After the first procedure the positive effect in the form of total disappearance of pains or their considerable reduction appears. Any complications and side effects are not observed. On passing of a full course of treatment raise elasticity of sheaves and sinews that allows to recover the volume of movements and to return to full activity. The course treatment consists of 5-7 procedures with an interval of 3-5 days.
