Shoulder Lesions: Or something else? Differential Diagnosis

Musculoskeletal system and connective tissue (M00-M99).

  • Biceps tendon rupture – Generic term for rupture of at least one tendon of the biceps brachii muscle (two-headed arm flexor muscle). A distinction is made between proximal biceps tendon rupture (in the shoulder area) and the distal rupture (in the elbow area).
  • Bursitis (bursitis) in rheumatoid arthritis (pcp).
  • Mishealed tuberculum majus (large humeral hump).
  • Frozen shoulder (syn: periarthritis humeroscapularis, painful frozen shoulder and Duplay syndrome) – adhesive capsulitis; extensive, painful abolition of shoulder mobility (painful frozen shoulder).
  • Contracture of the dorsal capsule
  • Impingement syndrome (English “collision”) – the symptomatology of this syndrome is based on the presence of a constriction of the tendon structure in the shoulder joint.and thus impaired function of joint mobility. It is mostly caused by degeneration or entrapment of capsular or tendon material. Degeneration or injury of the rotator cuff is the most common cause here. Symptom: Affected patients can hardly lift their arm above shoulder height due to the increasing impingement of the supraspinatus tendon. The actual impingement occurs subacromially, which is why this is called subacromial syndrome (short: SAS).
  • Osteophytes (bone attachments) in the area of the acromioclavicular joint.
  • Pseudarthrosis – disease caused by the failure of a fracture (bone fracture) to heal.
  • Rotator cuff rupture – tear of the muscle cuff involved in the shoulder joint [rotator cuff: supraspinatus muscle, infraspinatus muscle, teres minor muscle and subscapularis muscle].
  • Shoulder pain caused by changes in the spine (vertebragen), vessels (vascular), or nerves (neurogenic)
  • Tendinosis calcarea of the shoulder (calcific shoulder) – calcification mostly in the area of the attachment tendon of the supraspinatus muscle; prevalence: about 10% in asymptomatic patients/about 50% becomes symptomatic; often spontaneously regressive (regressing); more men than women; incidence of bilateral: 8-40%.

Further

  • Iatrogenic – caused by medical intervention – for example, by inserted osteosynthesis material (material – mostly metal – what is used in the surgical treatment of fractures and other bone injuries with implants).