Types of Shoulder Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Shoulder Disorders, Diagnosis and Treatment and Related Diseases
The shoulder is really made up of 2 main joints that combine with tendons and muscles to permit a wide range of motion in the arm from scratching the back to throwing the perfect pitch.
The mobility of the shoulder has cause increasing problems with instability or impingement of the soft tissue or bony structures in the shoulder, resulting in pain.
The shoulder comprises 3 bones: the upper arm bone (humerus), the shoulder blade (scapula), and the collarbone (clavicle).
The head of the upper arm bone is placed into a rounded socket in the shoulder blade.
This socket is called the glenoid.
A combination of muscles and tendons keeps the arm bone centered in the shoulder socket.
These tissues are called the rotator cuff.
They enclose the head of the upper arm bone and attach it to the shoulder blade.
The shoulder is a ball-and-socket joint that comprises 3 main bones: the humerus (long arm bone), the clavicle (collarbone), and the scapula (also known as the shoulder blade).
The shoulder has many important parts:
1. The rotator cuff is a group of muscles and tendons that enclose the shoulder, giving it support and permitting a wide range of motion.
2. The bursa is a small bag of fluid that cushions and guards the tendons of the rotator cuff.
3. A cuff of cartilage termed the labrum produces a cup for the ball-like head of the humerus to move into.
4. The humerus goes relatively loosely into the shoulder joint.
This supplies the shoulder a wide range of movement, but also makes it vulnerable to injury.
From Wikipedia These bones are enclosed by a layer of cartilage.
There are 2 main joints:
1. The acromioclavicular joint connects the highest part of the scapula and the clavicle.
2. The glenohumeral joint comprises the top, ball-shaped part of the humerus bone and the outer edge of the scapula.
This joint is also termed the shoulder joint.
The shoulder joint is the joint with the most movements in the body.
It moves the shoulder forward and backward.
It also permits the arm to move in a circular motion and to move up and away from the body.
Most shoulder disorders fall into 4 major types:
1. Tendon inflammation (bursitis or tendinitis) or tears of tendon
Bursitis
Acute Tendinitis
Chronic tendinitis
Tendon Tears
Rotator cuff injury
Shoulder impingement
2. Instability
Subluxation
Dislocation
3. Arthritis
Osteoarthritis
Rheumatoid arthritis
Gout
4. Fracture (broken bone) or dislocation
Acromioclavicular (AC) joint injury
Cartilage tear
Labral tear
Frozen shoulder
Shoulder symptoms
1. Pain and stiffness happens in the shoulder that does not go away over months or years:
Frozen shoulder, arthritis (osteoarthritis or rheumatoid arthritis)
2. Pain is often worse while using the arm or shoulder:
Tendonitis, bursitis, impingement
3. Tingling, numb, weak, feels like it is clicking or locking:
Shoulder instability, sometimes because of hyper mobility
4. Sudden very bad pain, inability to move the arm (or it is difficult), sometimes change of shape:
Dislocation, fracture, torn or ruptured tendon
5. Pain on top of the shoulder:
Disorders in the acromioclavicular joint, like dislocation or stretched or torn ligaments
Imaging tests, such as an X-ray or MRI, can provide detailed pictures of the shoulder to help with the diagnosis.
Some treatment methods are:
1. Physical or occupational therapy,
2. A sling or shoulder immobilizer, or
3. Medicines
4. Steroid injections
5. Surgery.
TABLE OF CONTENT
Introduction
Chapter 1 Shoulder Disorders
Chapter 2 Shoulder Arthritis
Chapter 3 Shoulder Dislocation
Chapter 4 Frozen Shoulder
Chapter 5 Rotator Cuff I
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Types of Shoulder Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Types of
Shoulder Disorders,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2020 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Types of
Shoulder Disorders, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Types of
Shoulder Disorders)
This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.
This autobiography account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
My diagnosis and treatment capability has improved tremendously from my continued education.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Types of Shoulder Disorders
The shoulder is really made up of 2 main joints that combine with tendons and muscles to permit a wide range of motion in the arm from scratching the back to throwing the perfect pitch.
The mobility of the shoulder has cause increasing problems with instability or impingement of the soft tissue or bony structures in the shoulder, resulting in pain.
The shoulder comprises 3 bones: the upper arm bone (humerus), the shoulder blade (scapula), and the collarbone (clavicle).
The head of the upper arm bone is placed into a rounded socket in the shoulder blade.
This socket is called the glenoid.
A combination of muscles and tendons keeps the arm bone centered in the shoulder socket.
These tissues are called the rotator cuff.
They enclose the head of the upper arm bone and attach it to the shoulder blade.
The shoulder is a ball-and-socket joint that comprises 3 main bones: the humerus (long arm bone), the clavicle (collarbone), and the scapula (also known as the shoulder blade).
The shoulder has many important parts:
1. The rotator cuff is a group of muscles and tendons that enclose the shoulder, giving it support and permitting a wide range of motion.
2. The bursa is a small bag of fluid that cushions and guards the tendons of the rotator cuff.
3. A cuff of cartilage termed the labrum produces a cup for the ball-like head of the humerus to move into.
4. The humerus lies relatively loosely into the shoulder joint.
This supplies the shoulder a wide range of movement, but also makes it vulnerable to injury.
From Wikipedia These bones are enclosed by a layer of cartilage.
There are 2 main joints:
1. The acromioclavicular joint connects the highest part of the scapula and the clavicle.
2. The glenohumeral joint comprises the top, ball-shaped part of the humerus bone and the outer edge of the scapula.
This joint is also termed the shoulder joint.
The shoulder joint is the joint with the most movements in the body.
It moves the shoulder forward and backward.
It also permits the arm to move in a circular motion and to move up and away from the body.
From Wikipedia
The shoulder joint gets their range of motion from the rotator cuff.
The rotator cuff comprises 4 tendons.
Tendons are the tissues that connect muscles to bone.
It may be painful or difficult to lift the arm over the head if the tendons or bones around the rotator cuff are damaged or swollen.
The patient can injure the shoulder by performing manual labor, playing sports, or even by repetitive movement.
Certain disorders can cause pain that radiates to the shoulder.
These are diseases of the cervical spine (neck), as well as liver, heart, or gallbladder disease.
What are the causes of Shoulder Disorders?
Causes
The patient is more likely to have disorders with the shoulder as the patient grows older, particularly after age 60.
Most shoulder disorders fall into 4 major types:
1. Tendon inflammation (bursitis or tendinitis) or tears of tendon
2. Instability
3. Arthritis
4. Fracture (broken bone) or dislocation
Other much less frequent causes of shoulder pain are tumors, infection, and nerve-related disorders.
Shoulder Disorders
A. Shoulder bursitis:
There is inflammation of the bursa, the small sac of fluid that lies over the rotator cuff tendons.
Pain happen with the usage of overhead activities or pressure on the upper outer arm is the main symptom.
Bursae are small, fluid-filled sacs sited in joints throughout the body such as the shoulder and knee
They function as cushions between bones and the overlying soft tissues, and help reduce friction between the gliding muscles and the bone.
Occasionally, the excessive usage of the shoulder causes inflammation and swelling of the bursa between the rotator cuff and part of the shoulder blade called the acromion.
The result is a disorder known as subacromial bursitis.
Bursitis often happens in link with rotator cuff tendinitis.
The many tendons and muscles in the shoulder can become inflamed and painful.
Many daily actions, such as combing the hair or getting dressed, may become problematic.
The bursa (a fluid-filled sac that cushions in the joint) can become swollen and irritated if the patient repeats the same motions over and over again.
It can also be produced by a fall or another injury.
If the patient has bursitis, the patient may feel the pain most when the patient moves the shoulder.
Tendinitis
A tendon is a cord that joins muscle to bone.
Most tendinitis is caused by inflammation