Shoulder

I used to be a pretty good ball player but I haven't picked up a baseball in 25 years. During a family reunion, I was the pitcher for our team. Oh boy -- my shoulder has been pretty ouchy ever since. Do I wait it out or is it better to see someone right away? I can't decide.

You have nothing to lose by getting an exam and diagnosis. For most musculoskeletal aches and pains, rest and recovery is all that's needed. But with a little age behind you and a pattern of overuse, there may be need for a more specific treatment approach. And usually, early diagnosis and treatment yield better results.




Review and Update on SLAP Shoulder Injuries

The focus of this review article is a specific shoulder injury known as a SLAP tear. SLAP stands for superior labral anterior-posterior. It refers to an injury affecting the labrum, a fibrous rim of cartilage around the edge of the shoulder joint. Because the shoulder has such a wide range of motion, the shoulder socket can't be too deep. But if it's too shallow, there is an increased risk of shoulder dislocation.




I have some calcium deposits in the tendons of my shoulder. Nothing has worked to get rid of these. My doctor wants me to try shock therapy. I'm a little nervous to try something like this. How does it work and does it hurt?

The use of extracorporeal shockwave therapy (ESWT) has been shown successful in the treatment of calcific tendinitis (the medical term for your condition). It is not clear if ESWT is the best treatment approach (that remains to be determined in future studies), but a recent review of studies shows very favorable results.




I've just been diagnosed with calcifying tendinitis. What is it? How long will it last? Will it go away on its own?

Calcific tendinitis is a degenerative condition affecting the four tendons surrounding the shoulder called the rotator cuff. These include the supraspinatus, infraspinatus, teres minor, and subscapularis muscles. All four muscles can be affected, but usually it's just one of the four. And the tendons are listed here in declining order of frequency (i.e., supraspinatus is affected most often and subscapularis least often).




Shockwave Therapy for Calcium Deposits in Shoulder

What's the best way to treat calcifying tendinitis of the shoulder that doesn't respond to physical therapy, medications, or steroid injections? The authors of this systematic review report that the use of extracorporeal shockwave therapy (ESWT) has proven successful, though we still don't know if it is the best treatment approach. That remains to be determined in future studies.




I confess I'm not much for exercise, so when I was diagnosed with snapping scapula syndrome, I skipped the surgeon's recommendation for physical therapy and just took the antiinflammatory pills. But six weeks later and I'm still not any better really. Maybe if I knew what was involved with therapy, I might be more motivated to go. What can you tell me?

If you have a snapping scapula syndrome, then you know that almost every time you raise your arm forward (shoulder flexion) or out to the side (shoulder abduction), you feel and/or hear a pop or crack. This sound is also referred to as crepitus. The sound is made by some soft tissue rubbing between the scapula (shoulder blade) and the thoracic wall. The tissue caught between these two structures could be a bursa, tendon, or muscle.




I found a few things on the Internet about something called snapping scapular syndrome. Most of what I found was on your site. What else can you tell me about this problem?

The snapping scapula syndrome is characterized by a loud pop or crack when the arm is raised up overhead. The medical term for this sound is crepitus. The sound is made by some soft tissue rubbing between the scapula and the thoracic wall. The tissue caught between these two structures could be a bursa, tendon, or muscle. The person with this problem may or may not experience pain with the movement.




Update and Review: Diagnosis and Treatment of Snapping Scapula Syndrome

The scapula (shoulder blade) is an amazing anatomical structure. It is suspended over the ribs between the spine and the arm by only two ligaments. There isn't a real joint between the scapula and the trunk. Three layers of muscle and bursae (plural for bursa) support this structure. The bursae are small fluid-filled sacs designed to reduce friction between muscle or tendon and bone.




I'd like to be a little more educated about surgical treatment for a shoulder I have that keeps dislocating. When I see the orthopedic surgeon next week, what might I expect to have happen?

The surgeon will ask you questions and interview you about your medical history and especially the details of your current complaints. The problem has to be identified and recognized for what it is. With chronic shoulder dislocations, treatment will fail if the full extent of the injury isn't treated. Next, a physical examination and then appropriate imaging tests are used to define the problem.




I am a fairly new journalist now assigned to a small town newspaper sports column. My first assignment is to research shoulder dislocations in throwing athletes. Parents of our local little league players are worried about their kids ending up with one dislocation after another. I'm looking for some background information and maybe a new angle from what's already been reported. Can you help me out?

The shoulder joint called the glenohumeral joint is made up of two main parts. On one side is the humerus (the upper arm bone). At the top of the humerus is a round ball-shaped bone that fits into a shallow socket of the scapula (shoulder blade). This shallow socket is called the glenoid fossa or just glenoid.





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