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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