How to determine if shoulder periarthritis has developed adhesions

May 14, 2023 Source: Cainiu Health
Dr. Lin Yunfei
Introduction
Shoulder adhesive capsulitis (frozen shoulder) can be diagnosed through a comprehensive analysis of clinical signs and medical examinations. Clinical signs include limited range of motion in the shoulder joint, pain, and atrophy of shoulder muscles. Medical evaluation primarily involves imaging studies, physical examination, and muscle strength testing. It is recommended to seek timely medical attention when experiencing the above symptoms, and to undergo standardized treatment based on diagnosis by an orthopedic physician.

In general, adhesive shoulder periarthritis can be diagnosed based on clinical signs such as limited range of motion in the shoulder joint, pain, and shoulder muscle atrophy. It can also be comprehensively evaluated through medical examinations including imaging studies, physical examination, and muscle strength testing. The specific analysis is as follows:

I. Clinical Signs

1. Limited Range of Motion in the Shoulder Joint

The mobility of the shoulder is significantly restricted. Common manifestations include limited shoulder movement, restricted internal rotation and abduction of the upper arm, etc.

2. Pain

Pain in the shoulder, typically deep-seated and severe, may worsen at night or during shoulder movements.

3. Shoulder Muscle Atrophy

Atrophy of shoulder muscles, especially rotator cuff muscles such as the supraspinatus and other related muscles.

II. Medical Diagnostic Methods

1. Imaging Studies

These include X-ray and MRI, which can reveal changes in the morphology, position, structure, and function of rotator cuff tendons, thereby confirming the presence of rotator cuff tendon adhesion.

2. Physical Examination

Doctors can perform a preliminary diagnosis of rotator cuff tendon adhesion by observing the patient's shoulder contour, range of motion, muscle atrophy, and other signs.

3. Muscle Strength Testing

By measuring the strength of the shoulder muscles, it is possible to assess whether muscle atrophy or rotator cuff tendon adhesion exists.

It is recommended that patients seek timely medical attention when experiencing the above symptoms and receive standardized treatment following evaluation by an orthopedic specialist.