Glenohumeral Joint Arthritis Overview

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

In the context of GH joint arthritis, which of the following is a common characteristic of the acute phase?

  • Significant joint swelling
  • Excessive scapulothoracic movement
  • Pain localized to the deltoid region
  • Limited external rotation and abduction (correct)

In the subacute phase of GH joint arthritis, what is the typical pattern of motion restriction?

  • There is no significant restriction of motion
  • External rotation and abduction are most limited, internal rotation and flexion are least limited (correct)
  • All directions of motion are equally limited
  • Internal rotation and flexion are most limited, external rotation and abduction are least limited

In the chronic phase of GH joint arthritis, what functional limitation is commonly seen?

  • Numbness and tingling in the hand
  • Inability to flex the elbow
  • Inability to reach overhead, outward, or behind the back (correct)
  • Weakness of the biceps and triceps muscles

Which of the following is a characteristic of Stage 1 of idiopathic frozen shoulder?

<p>Gradual onset of pain that increases with movement (C)</p> Signup and view all the answers

What is the typical duration of Stage 2 (Freezing Stage) of idiopathic frozen shoulder?

<p>3 to 9 months (B)</p> Signup and view all the answers

Which of the following is NOT a typical feature of Stage 3 (Frozen Stage) of idiopathic frozen shoulder?

<p>Intense pain even at rest (D)</p> Signup and view all the answers

What is the most common symptom associated with both GH joint arthritis and idiopathic frozen shoulder?

<p>Pain (B)</p> Signup and view all the answers

Which of the following is a key difference between GH joint arthritis and idiopathic frozen shoulder?

<p>The presence of a capsular pattern (A)</p> Signup and view all the answers

What characterizes Stage 4 of the condition described?

<p>Significant capsular restrictions from adhesions (C)</p> Signup and view all the answers

What is the average duration of Stage 4 after onset?

<p>15 to 24 months (D)</p> Signup and view all the answers

What may happen if inappropriate therapy is applied during this stage?

<p>Prolonged symptoms and delayed recovery (A)</p> Signup and view all the answers

Which statement is true regarding recovery in Stage 4?

<p>Some patients experience long-term limitations (D)</p> Signup and view all the answers

What type of management is typically advised during Stage 4?

<p>Return to function with an emphasis on gradual improvement (A)</p> Signup and view all the answers

Flashcards

Stage 4 (Thawing Stage) Frozen Shoulder

A stage in frozen shoulder characterized by minimal pain, no inflammation (synovitis), but significant stiffness due to adhesions. This stage is marked by gradual improvement in movement.

Duration of Thawing Stage

The time frame for the Thawing Stage of frozen shoulder, lasting from 15 to 24 months after the onset of symptoms.

Possible Outcome of Thawing Stage

The potential outcome of the Thawing Stage, where some individuals may never completely regain normal range of motion.

Average Recovery Time

The average time for spontaneous recovery from frozen shoulder, as reported in some studies.

Signup and view all the flashcards

Inappropriate Treatment in Thawing Stage

The potential negative consequence of aggressive treatment during the wrong stage of frozen shoulder, which can prolong symptoms.

Signup and view all the flashcards

Stage 1 (Idiopathic Frozen Shoulder)

A condition where pain is present at night and worsens with movement, affecting external rotation but maintaining rotator cuff strength. This stage lasts less than 3 months.

Signup and view all the flashcards

Stage 2 (Freezing Stage) of Idiopathic Frozen Shoulder

This stage features persistent and intense pain, even at rest. Movement is limited in all directions, and joint injections don't fully restore motion. This stage typically lasts between 3 and 9 months.

Signup and view all the flashcards

Stage 3 (Frozen Stage) of Idiopathic Frozen Shoulder

This stage is characterized by pain only during movement, significant adhesions, and limited glenohumeral motion. Compensation involves excessive scapulothoracic movement. Muscle atrophy is also observed.

Signup and view all the flashcards

Acute Phase of GH Joint Arthritis

A condition where shoulder pain restricts movement, particularly external rotation and abduction, and often radiates down the arm. Tenderness is present in the sulcus below the acromion.

Signup and view all the flashcards

Subacute Phase of GH Joint Arthritis

This stage is characterized by capsule tightness, with limited motion in a specific pattern: external rotation and abduction are most restricted, while internal rotation and flexion are less affected.

Signup and view all the flashcards

Chronic Phase of GH Joint Arthritis

This stage involves progressive restriction of the glenohumeral joint capsule, leading to significant functional loss, difficulty reaching overhead, and pain localized to the deltoid region.

Signup and view all the flashcards

Capsular Pattern

This occurs when the joint capsule is more tight in some directions than others, specifically affecting external rotation and abduction more than internal rotation and flexion.

Signup and view all the flashcards

GH Joint Arthritis

A condition where the joint capsule is inflamed, leading to restrictions in movement, pain, and tenderness. This is often associated with limited external rotation and abduction.

Signup and view all the flashcards

Study Notes

Glenohumeral (GH) Joint Arthritis

  • Acute Phase: Pain and muscle guarding limit motion, primarily external rotation and abduction. Pain often radiates to the elbow and disrupts sleep. Joint swelling isn't typically visible, but tenderness is palpable in the sulcus below the acromion process.

  • Subacute Phase: Capsular tightness develops, creating a capsular pattern (limited external rotation and abduction, less limited internal rotation and flexion). Pain occurs at the end of the limited range. Passive accessory motion testing reveals restricted joint play. Managing the acute condition by gradually increasing movement and activity minimizes potential joint/soft tissue contractures.

  • Chronic Phase: Progressive restriction of the GH joint capsule worsens restricted motion (capsular pattern). Significant loss of function occurs, with difficulty reaching overhead, outwards, or behind the back. Pain is localized to the deltoid region.

Idiopathic Frozen Shoulder

  • Four Stages: A classic continuum is observed.

  • Stage 1 (Freezing): Gradual onset of pain, worsening with movement, present at night. External rotation is lost, but rotator cuff strength remains intact. Usually lasts less than 3 months.

  • Stage 2 (Freezing): Persistent, intense pain, even at rest. Motion is limited in all directions, and intra-articular injections don't completely restore movement. Typically lasts between 3 and 9 months.

  • Stage 3 (Frozen): Pain only with movement, significant adhesions, and severe GH motion restrictions. Compensatory scapulothoracic movement is common. Muscle atrophy of the deltoid, rotator cuff, biceps, and triceps may occur. This stage lasts 9 to 15 months.

  • Stage 4 (Thawing): Minimal pain, no synovitis, but significant capsular restrictions from adhesions. Gradual improvement in motion. This stage lasts 15 to 24 months; some patients never regain full range of motion. Average spontaneous recovery time is approximately 2 years, but some experience long-term limitations.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

More Like This

Use Quizgecko on...
Browser
Open
Browser
Browser