The shoulder is a joint (or even more joints) suspended (the arm is "hooked" to the trunk) which explains that the muscle and tendon disorders are more frequent and certainly more meaningful (in terms of pain) that the conditions of articular wear (osteoarthritis). On the other hand, some pain may be felt in the shoulder pain but be "projection" of pulmonary origin, cervical ...
It thus distinguishes:
The causes bone and joint:
- Osteoarthritis is primitive or secondary (in the context of neurological diseases such as syringomyelia, where one is struck by the discrepancy between impressive osteoarthritic lesions on radiographs and pain discrete)
- Infectious causes (very rare, ranging from acute septic arthritis to tuberculosis).
The adhesive capsulitis of the shoulder
Pathology frequent Échez diabetics where the mobility of the shoulder is very limited, with pain at night, but the radiograph is almost normal.
The pathology or peri juxta articular shoulder
which is the dominant pathology
Either-table "tendinitis" microtrauma, muscles responsible for rotation of the shoulder, which appears especially after forty.
Either-inflammatory acute due to the precipitation of microcrystals in a bursa located between the muscles, giving an acute pain in the shoulder with limitation, but often dramatically effective treatment with anti-inflammatory drugs and colchicine.
- Let tramatique disease or injury with rupture of a tendon muscle cuff of the shoulder.
The pain of the shoulder projection
quite frequent.
Sorrows of pulmonary origin (taking radiographs of the lungs especially in smokers).
Pain-neck (in association with a cervico-brachial neuralgia).
- A special mention for the pain of biliary origin (gallstones) sometimes revealed by a pain in the right shoulder.
- Beware of cardiac pain, especially on the left.
In short, it is the doctor to examine the patient to take a good diagnostic orientation before they do further tests.
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