What is the difference between scapulohumeral periarthritis and cervical spondylosis? What is the difference between cervical spondylosis and scapulohumeral periarthritis?

Both scapulohumeral periarthritis and cervical spondylosis are common diseases in daily life, but in the eyes of many people, scapulohumeral periarthritis and cervical spondylosis are the same, and many people don't even know whether they are suffering from scapulohumeral periarthritis or cervical spondylosis. So what is the difference between scapulohumeral periarthritis and cervical spondylosis? What is the difference between cervical spondylosis and scapulohumeral periarthritis? What is the difference between cervical spondylosis and scapulohumeral periarthritis?

1, the difference between scapulohumeral periarthritis and cervical spondylosis

(1) shoulder pain is different.

Periarthritis of shoulder is mainly localized shoulder pain, and the pain is obviously aggravated when the shoulders and arms are lifted, abducted and rotated. It is characterized by shoulder joint dysfunction, inability to lie on the affected side, more severe pain than at night, and generally no finger numbness.

Cervical spondylosis is mainly pain and discomfort in neck, shoulders and back, but the pain will be relieved when the upper limbs are lifted. Pain is aggravated by pulling and drooping, and the pain is nerve root, often accompanied by numbness or numbness of radioactive fingers.

(2) Tenderness point

The most common tender points of scapulohumeral periarthritis are the attachment between the two heads of humerus and the shoulder, and the tender points along the front and back of deltoid muscle or the brachial end of deltoid muscle. There may be tenderness between the acromion where the supraspinatus tendon passes and the greater tubercle of humerus, and some patients may also have tenderness in trapezius, infraspinatus and teres minor.

Patients with cervical spondylosis often have no shoulder tenderness, but shoulder, back and neck tenderness.

(3) The nature of pain is different.

Periarthritis of shoulder can induce dull pain and soreness when moving shoulder joint. Pain is often confined to the shoulder, which will be accompanied by shoulder joint dysfunction, resulting in limited lifting, abduction and rotation. No neurological symptoms such as sensory disturbance.

The pain of cervical spondylosis is often numbness pain, burning pain and radiation pain. I want to radiate more hands, but there is no obstacle to shoulder joint activity. Shoulder pain with neck pain and discomfort, neck stiffness and neck movement disorder, numbness of upper limbs and fingers, and sometimes numbness of fingers.

(4) Different parts of muscle atrophy

Periarthritis of shoulder can shrink around the shoulder, such as deltoid muscle, biceps brachii muscle and supraspinatus muscle.

Cervical spondylosis is characterized by atrophy of upper limb muscles such as shoulders, arms and hands, but atrophy of medial hand muscles is more common.

(5) The differences in the development of X-ray lesions.

The X-ray film of scapulohumeral periarthritis is normal, and the joint space is slightly narrow in some cases. Or see soft tissue calcification around the shoulder joint, and patients with long illness may be osteoporosis and decalcification.

X-ray films of cervical spondylosis can show the abnormal arrangement and physiological curvature of cervical spine, bone and joint hyperosteogeny and other degenerative diseases.

2. Symptoms of scapulohumeral periarthritis

(1) acute phase

yearn for

Pain is the main clinical manifestation of patients with acute scapulohumeral periarthritis, which is mostly induced by climate change or fatigue. It is characterized by paroxysmal pain around the shoulder joint, which is more serious, aggravated at night and even affects sleep. The pain range is relatively wide, and the shoulder joint may have obvious tenderness.

Muscle spasm

Patients with acute scapulohumeral periarthritis may be accompanied by local muscle spasm while suffering from severe pain, which is mainly caused by sudden and severe local pain reflex.

Limited activities

The active and passive activities of the shoulder joint in all directions will be restricted. When the patient's shoulder is pulled, it will also produce severe pain, which can radiate to the neck and elbow, and even there will be different degrees of triangular muscular atrophy.

(2) remission period

It hurts to touch.

At this stage of scapulohumeral periarthritis, although the shoulder pain will gradually reduce or disappear, the local tenderness is still obvious and the tenderness range is relatively wide.

reach a deadlock

Due to acute muscle protective spasm, the joint function is limited, which develops into joint contracture dysfunction. At this stage, the patient's shoulder joint activity is severely limited, the soft tissue around the shoulder joint is widely adhered, and the shoulder joint contracture is stiff, which gradually increases to a frozen state. The range of motion of shoulder joint in all directions is significantly smaller than that of normal people. In severe cases, the activity of the shoulder-brachial joint can completely disappear, and only the scapula and chest wall joints can move.

Myophilia

Mild muscle atrophy can occur in the elderly with the course of disease, which is more common in the disuse atrophy of deltoid muscle, scapular girdle muscle, supraspinatus muscle and infraspinatus, especially deltoid muscle.

(3) recovery period

The pain of patients with scapulohumeral periarthritis in the recovery period can basically disappear, some patients will have slight pain, the shoulder joint will slowly relax, and the range of motion of the shoulder joint will gradually increase. A few patients still have symptoms of limited motor function after recovery.

(4) Prompt

Periarthritis of shoulder is a self-limiting disease. At present, the treatment of scapulohumeral periarthritis is mainly conservative treatment, and the length of recovery period is related to the length of acute and chronic period. The longer the freezing period, the slower the recovery. The shorter the course, the faster the recovery. Therefore, timely and effective treatment and exercise is the key to treat and shorten the course of disease.