Diagnosis of Glenohumeral Degenerative Joint Disease.

Last updated Wednesday, January 26, 2005

Diagnosis of primary glenohumeral DJD

The necessary and sufficient criteria for the diagnosis of primary glenohumeral degenerative joint disease are:

A. History

  1. Absence of major joint trauma, previous surgery, or other known causes of secondary degenerative joint disease
  2. Limited motion and function

B. Physical examination

  1. Limited glenohumeral motion
  2. Diagnosis is supported by bone on bone crepitance

C. Radiographs

  1. Joint space narrowing
  2. Periarticular sclerosis
  3. Periarticular osteophytes
  4. Absence of other pathology
  5. Diagnosis is supported by posterior glenoid erosion with posterior subluxation of humeral head.

The necessary and sufficient criteria for the diagnosis of secondary glenohumeral degenerative joint disease are:

A. History

  1. Evidence of major joint trauma or other known causes of secondary degenerative joint disease
  2. Limited motion and function

B. Physical examination

  1. Limited glenohumeral motion
  2. Diagnosis is supported by bone on bone crepitance

C. Radiographs

  1. Joint space narrowing
  2. Periarticular sclerosis
  3. Periarticular osteophytes
  4. Diagnosis is supported by radiographic evidence of previous trauma or other known causes of secondary degenerative joint disease