Shoulder Arthritis

Shoulder Arthritis

Shoulder arthritis occurs when the smooth cartilage lining the joint surfaces of the humerus (arm bone), scapula (shoulder blade), and clavicle (collarbone) becomes damaged and worn out. The glenohumeral joint, which is the ball and socket component of the shoulder, refers to where the ball part of the humerus moves on the socket part of the scapula. The joint surfaces are coated with an exceptionally smooth cartilage lining that helps lubricate the joint and enables smooth movement. The shoulder joint is renowned for being the most flexible joint in the body.

However, due to various reasons, the cartilage lining the joint surfaces can become damaged and unable to repair itself. Eventually, the worn-out cartilage is replaced by bare bone, which results in irreversible bone-on-bone arthritis when it occurs on both sides of the joint.

What Are The Causes Of Shoulder Arthritis?

Shoulder arthritis is a common cause of shoulder pain, and it can be caused by a variety of factors such as age, injury, or overuse. Here are some of the most common causes of shoulder arthritis:

  • Age - As we age, the cartilage in our joints can wear down, leading to arthritis.
  • Injury - A previous injury to the shoulder, such as a dislocation or fracture, can increase the risk of developing arthritis.
  • Overuse - Repetitive use of the shoulder joint, such as in sports or manual labor, can also lead to arthritis.
  • Rheumatoid arthritis - An autoimmune disease that causes joint inflammation and can affect the shoulder joint.
  • Osteoarthritis - A degenerative joint disease that is caused by the gradual wear and tear of the joint cartilage over time.

What Are The Signs & Symptoms Of Shoulder Arthritis?

The signs and symptoms of shoulder arthritis include pain, stiffness, limited range of motion, weakness, and swelling in the shoulder joint. In some cases, a grinding or clicking sensation may also be felt when moving the shoulder. The pain may worsen with activity or at night, and it may be accompanied by a loss of strength or function in the affected arm.

What Is The Diagnostic Process For Shoulder Arthritis?

Apart from conducting a thorough clinical examination that involves assessing the range of motion of the shoulder and the individual muscles surrounding it, other tests are typically necessary for the diagnosis of shoulder arthritis. These include

  • X-ray of the shoulder that reveals bone spurs, deformity of the joint, and loss of joint space.
  • CT scan or MRI scan are also utilized for a three-dimensional assessment of the shoulder joint and cartilage, as well as for examining the surrounding muscles and tendons.
  • In cases where surgery is being considered, a detailed evaluation of the shape and position of the shoulder bones is crucial. Additionally, blood tests and joint fluid analysis may be needed to determine the underlying cause of arthritis in the joint.