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HomeHistoryPhysical examinationThorough evaluation is essentialRadiographic evaluationDisease characteristicsDegenerative joint diseaseRheumatoid and other types of inflammatory arthritCuff tear arthropathyCapsulorrhaphy arthropathyAvascular necrosisOther types of arthritis

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Clinical Presentation and Evaluation of Glenohumeral Arthritis.

Last updated Thursday, January 27, 2005

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Physical examination

Physical examination often reveals mild or moderate muscle wasting about the shoulder, crepitus on joint motion, and limited range of motion. The limitation of glenohumeral motion is most easily identified if one of the examiner's hands is used to stabilize the scapula while the flexion/extension and internal/external rotation of the humerus relative to the scapula are documented with the other.

Thorough evaluation is essential

It is important to emphasize that shoulder arthritis may co-exist with other medical conditions, many of which will substantially alter the patient's disability and their potential to respond positively to treatment. Thus a thorough evaluation of each individual is essential.

The SF 36 provides a standardized documentation of the patient's self-assessed health status. The importance of factors such as the SF 36 scales of emotional role function, mental health, and social function is well demonstrated in the work of Summers et al (Summers, Haley, Reveille, et al., 1988), who found that the objective severity of the disease showed little relationship to patients' reports of pain, whereas psychological variables were much more closely correlated with measures of pain and functional impairment.


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