Knowing some of the diseases from the shoulder region


Ombro Congelado
 

    Várias causas de dor nos ombros causam incapacidade funcional do braço, mas acredito que a que cause por tempo mais prolongado seja a Capsulite Adesiva ou Ombro Congelado!!!!! Esta patologia ocorre devido uma inflamação da cápsula que envolve a articulação do ombro (como se fosse uma bexiga que contem a articulação e seu liquido de lubrificação), e esta inflamação ainda não há causa bem estabelecida para seu aparecimento...podendo ocorrer durante tratamento se tendinites, pós cirurgias e pós traumas no ombro, mas também aparece do nada!!!! Acomete mais mulheres acima dos 40 anos e cursa com MUITA dor no ombro e limitação IMPORTANTE dos movimentos. Está relacionado com usp de medicações controladas e Diabetes, mas não de forma definida, e seu tratamento inclui utilização de medicações analgésicas e anti-inflamatorios, fisioterapia e em até cirurgias...porém o mais importante é realizar um diagnóstico precoce...e ter paciencia, pois é uma doença que pode levar meses até seu pleno estabelecimento...


Ombro Congelado
 

    Várias causas de dor nos ombros causam incapacidade funcional do braço, mas acredito que a que cause por tempo mais prolongado seja a Capsulite Adesiva ou Ombro Congelado!!!!! Esta patologia ocorre devido uma inflamação da cápsula que envolve a articulação do ombro (como se fosse uma bexiga que contem a articulação e seu liquido de lubrificação), e esta inflamação ainda não há causa bem estabelecida para seu aparecimento...podendo ocorrer durante tratamento se tendinites, pós cirurgias e pós traumas no ombro, mas também aparece do nada!!!! Acomete mais mulheres acima dos 40 anos e cursa com MUITA dor no ombro e limitação IMPORTANTE dos movimentos. Está relacionado com usp de medicações controladas e Diabetes, mas não de forma definida, e seu tratamento inclui utilização de medicações analgésicas e anti-inflamatorios, fisioterapia e em até cirurgias...porém o mais importante é realizar um diagnóstico precoce...e ter paciencia, pois é uma doença que pode levar meses até seu pleno estabelecimento...


Ombro Congelado
 

Frozen Shoulder

    Several causes of shoulder pain cause functional incapacity of the arm, but I believe that the cause for a longer time is theFrozen Shoulder !!!!! This pathology occurs due to an inflammation of the capsule surrounding the shoulder joint (as if it were a bladder containing the joint and its lubricating liquid), and this inflammation is not yet well established cause, and may occur during treatment of tendinitis , post surgery and post trauma on the shoulder, but also appears out of nowhere !!!! It affects more women than 40 years and it courses with MUCH shoulder pain and IMPORTANT limitation of the movements. It is related to the use of controlled medications and Diabetes, but not in a defined way. Its treatment includes the use of analgesic and anti-inflammatory medications, physiotherapy and, in certain cases, even surgeries, but the most important is to perform an early diagnosis and to have patience, since it is a disease that can take months until its full establishment.

Rotator Cuff Calcification 

   Known disease with calcineal tendinitis, characterized by the presence of deposition of calcium crystals in the internal region of the tendons that move the shoulder (rotator cuff), a disease caused by an inflammatory process that progresses to this calcification (without a fully defined cause) leads to a clinical picture of intense pain, of rapid onset, during movement of the shoulder and, at rest also, that causes the patient not to move the shoulder. Treatment begins with the use of medication to relieve pain and physical therapy, sometimes this treatment does not solve the problem and the patient must undergo surgical treatment, performed by arthroscopy (camera assisted surgery !!!). In the initial picture of severe shoulder pains quickly, the orthopedist should always be sought for a correct diagnosis and treatment.

Shoulder Pain .... What do I have ??? BURSITIS

   One of the places of great increase of complaints, in the office of an orthopaedist, is the PAIN IN THE SHOULDER. Several pathologies cause pain in the shoulder, Deltoid and Trapezius muscle region, and can have all origins in the shoulder !!!!! Therefore to know the origin of this pain a history of this pathology, with time of appearance, location, when there is pain, if there is a history of trauma, or if something is involved, it is of extreme importance for the discovery of the cause of this pain and realization of treatment. People who have spontaneous onset shoulder pain, arm pain, no tingling, worsening with physical activity, and night pain, are most likely to present a picture of inflammation of the rotator cuff tendons, especially the tendon that elevates the arm (supraspinal), and the main cause of this inflammation is Impact Syndrome. This syndrome is caused by the repetitive trauma between the tendon that lifts the arm (supraspinatus) with the lower part of the bone that makes the contour of our shoulder (acromion), causing very strong, and often disabling, pains. Between this tendon and this bone, there is a protective bag (bursa), in an attempt to avoid major trauma, for this reason the inflammatory process of this tendon comes accompanied by the famous BURSITE ... Normally the treatment is performed with rest, use of medication anti-inflammatory and physical therapy, but infiltrations and even surgery can be performed in extreme cases.

Rotator Cuff Tear

   The shoulder joint has a very broad range of motion, which occurs due to the characteristics of its articulation and the presence of a muscular group that surrounds the upper part of the humerus (arm bone). This muscle group is called a rotator cuff, and the tendons of these muscles attach to the humeral head. Formed by the subscapular, supraspinatus, infraspinatus-spinal and teres minor. These muscles allow a great mobility performed by the shoulder. Due to excessive movement, trauma or degeneration through time, the tendons of the cuff can rupture, where the patient presents: Pain in the mobility of the shoulder; Night pain; Loss of strength in certain movements of the shoulder. These lesions are diagnosed by ultrasonography or magnetic resonance imaging, the latter being best used to assess the size of the lesion and tendon involvement. The cuff lesions can be treated non-surgically (small partial lesions or when the patient does not present a clinical condition to be operated) or surgically (better treatment in the vast majority of lesions), so when performing the diagnosis of SLEEVE, if you are looking for a shoulder and elbow surgeon to guide the best treatment.

What is SLAP ???

  The articulation of the shoulder is formed mainly by the area comprising the arm bone (humerus) and a part of the scapula bone (glenoid), this joint is called glenohumeral. The glenoid has a "frame" called the GLENOIDAL LABRUM, where they attach the ligaments of the shoulder, and in its upper portion fixes the tendon of the long head of the biceps. The lesion in this upper region of the glenoid lip near the insertion of the long head of the biceps is called SLAP lesion. It is usually a pathology of young patients who perform physical activity and have pain in the shoulder that radiates to the arm, and their diagnosis is made by performing a magnetic resonance. This pathology presents 4 basics degrees, and should be treated according to these classifications, being able to be treated with medication and physiotherapy and even in need of surgery.

Shoulder Arthroscopy

   What is arthroscopy ??? Arthroscopy is a surgical method that allows the orthopedic surgeon to diagnose and treat joint injuries in a non-invasive way. Shoulder arthroscopy is performed for the treatment of various lesions affecting the tendons (cuff), ligaments (dislocations), and cartilage (arthrosis). Performed with the aid of a camera (arthroscope) and arthroscopy instruments (shaver, ablation, anchors, etc ...) that enter the shoulder joint through small incisions, called portals, allowing a wide visualization of the joint and the possibility to treat a large number of diseases of the shoulder (not used in the placement of prostheses and treatment of large fractures), with less aggression to the joint and surrounding structures (muscles, ligaments, tendons, etc ...). When the patient presents with pathology in the shoulder that the arthroscopic treatment is indicated, this surgical technique is often indicated.

My Shoulder Dislocate!!!

   When the shoulder shifts we call it Shoulder Dislocation, and when this occurs repetitively we call it Recurrent Shoulder Dislocation. This pathology occurs mostly in young individuals and the initial way of treating it is to place the shoulder in place. The definitive treatment depends on whether the shoulder has spontaneously displaced (NO TRAUMA) or after a strong trauma, since in the spontaneous form we can treat without surgery, even in the traumatic form the chance of maintaining the shoulder displacement is very large and must be treated surgically in most cases. Age is another factor, because the younger the shoulder, the greater the chance of continuing to move, so it should be treated as soon as the first episode occurs.

Shoulder Fracture

   Shoulder fractures occur in the upper (proximal) region of the humerus (arm bone), occurring mainly in older people (over 65 years) with falls of the same height, or in young patients occurs in high energy trauma (more violent), such as auto accidents. Its treatment depends on how much the parts of the fracture are deviated (separated), and can be done in a non-surgical or surgical way, with placement of metallic pins, plates or even need to place a prosthesis, the most important is to follow the medical guidelines for better treatment and evolution of this fracture.

Shoulder Arthritis

    Osteoarthritis is a very common condition in people over 65 years, it can also occur in the shoulder. Because the shoulder is a joint that does not "carry" our body (such as knee and hip), it has a lower incidence of this condition, but who suffers or suffered from arthrosis on the shoulder knows how disabling this disease is. The treatment for shoulder arthrosis is to perform a PROSTHETIC, which is nothing more than a replacement of the natural joint by a mechanic, however there are several types of prosthesis that can be performed, look for a specialist to identify the cause of the wear and indicate the best prosthesis for your case.

My clavicule dislocate!!!

   In fact the clavicle is still in the same position, but its shoulder is lower, this occurs when we have a fall on the shoulder or with direct trauma in the region of the top of the shoulder, occurring a condition called ACROMIO-CLAVICULE DISLOCATION !! ! There is an incongruity between the clavicle and the acromion (bone that gives the contour of our shoulder !!!), and this incongruence occurs because there is a contusion or rupture of the ligaments that attach the clavicle to the shoulder. Patient progresses with a lot of pain in the shoulder, mainly the elevation and in the more serious stages presents a deformity, as if the tip of the clavicle was elevated. It presents mobility in the clavicle (key sign), and the deformity disappears when we raise the shoulder towards the clavicle. The treatment depends on the severity of the incongruity of the articulation between the clavicle and the acromion. It can be treated without the need for surgery (sling) or with surgery in the most severe cases .... at the smallest sign of this pathology, seek an orthopedist. The diagnosis is made through clinical examination and x-rays of the shoulder.

© 2017 por Mauricio de Paiva Raffaelli. Orgulhosamente criado com Wix.com