Shoulder lesions (synonyms: Adhesive Enthesiopathy of the Shoulder Region; Adhesive Inflammation of the Shoulder Joint Capsule; Adhesive Pericapsulitis of the Shoulder; Adhesive Shoulder Peritendinitis; Adhesive Shoulder Endinitis; Affection of the Shoulder Region a.n.k. ; Affection of shoulder region; Acute periarthritis humeroscapularis; Biceps brevis syndrome; Biceps longus syndrome; Biceps groove syndrome; Biceps tendinitis; Bursitis calcarea of shoulder; Bursitis calcarea supraspinata; Bursitis humeroscapularis; Bursitis of shoulder; Bursitis subacromialis; Bursitis subcoracoidea; Bursitis subdeltoidea; Chronic periarthritis humeroscapularis; Duplay bursitis; Duplay disease; Duplay periarthritis; Duplay syndrome; Enthesiopathy in the shoulder region; Fibromyositis humeroscapularis; Frozen shoulder; Impingement syndrome of the shoulder; Insertion tendopathy in the shoulder region; Capsulitis of the shoulder; Capsular irritation of the shoulder; Lesion of the rotator cuff; Lesion of the rotator cuff of the shoulder joint; Myofibrosis humeroscapularis; Myofibrositis humeroscapularis; Non-traumatic shoulder injury; Non-traumatic incomplete rupture of rotator cuff; Non-traumatic incomplete rupture of supraspinatus tendon; Non-traumatic complete rupture of rotator cuff; Non-traumatic complete rupture of supraspinatus tendon; PAH [Periarthropathia humeroscapularis] – see. a. Periarthropathia humeroscapularis or s.a. Periarthritis humeroscapularis; Periarthritis of the shoulder; Periarthritis humeroscapularis; Periarthropathia humeroscapularis; Periarthropathia humeroscapularis acuta; Periarthropathia humeroscapularis calcarea; Periarthropathia humeroscapularis with limitation of motion; Periarthropathia humeroscapularis with unilateral head elevation; Periarthropathia humeroscapularis with calcification; Periarthropathia humeroscapularis with partial stiffness; Periarthropathia humeroscapularis simplex; Periarthrosis humeroscapularis; PHS [Periarthropathia humeroscapularis] – see. a. Periarthropathia humeroscapularis or s.a. Periarthrosis humeroscapularis or s.a. Periarthritis humeroscapularis; PHS [periarthropathia humeroscapularis] syndrome; rotator cuff rupture; rotator cuff rupture of the shoulder; rotator cuff syndrome; rotator syndrome; shoulder bursitis; Shoulder adhesion; Shoulder joint adhesion; Shoulder lesion; Shoulder pain; Tendon disorder in shoulder region; Secondary periarthritis humeroscapularis; Subacromial bursitis; Subscapular adhesion; Supraspinatus tendon syndrome; Supraspinatus syndrome; Supraspinatus syndrome of the shoulder; Supraspinatus tendinosis; Supraspinatus and subscapularis tendinitis; Supra- and infraspinatus tendinitis; Tendinitis calcarea of the shoulder; Tendinitis of the biceps brachii muscle; Tendinitis of the shoulder; Tendinosis calcarea of the shoulder; Tendomyopathy of the shoulder girdle; Tendomyopathy in the shoulder region; Tendomyosis of the shoulder girdle; Tenosynovitis in shoulder adhesion; Tenosynovitis of the shoulder; Tenosynovitis of the biceps; ICD-10 M75. -: Shoulder lesions), the following pathological (pathological) changes of the shoulder are grouped together:
- Adhesive inflammation of the shoulder joint capsule (M75.0; periarthropathia humeroscapularis) – the term conceals degenerative changes with calcification, swelling, etc. of the shoulder; can lead to chronic frozen shoulder (“frozen shoulder”)
- Rotator cuff lesions (M75.1) – (partial) rupture of the rotator cuff as well as rupture of the supraspinatus tendon.
- Tendinitis of the biceps brachii muscle (M75.2) – tendonitis of the biceps humerus muscle.
- Tendinitis calcarea of the shoulder (M75.3; calcareous shoulder).
- Impingement syndrome of the shoulder (M75.4) – impingement syndrome is the pain symptomatology caused by narrowing of the space between the supraspinatus muscle and the acromion (tightness syndrome)
- Bursitis in the shoulder region (M75.5) – bursitis in the shoulder region.
- Other shoulder lesions (M75.8)
- Shoulder lesion, unspecified (M75.9)
Sex ratio: women are more commonly affected by tendinitis calcarea of the shoulder (calcific shoulder) than men (3: 1). Frequency peak: the lesions of the rotator cuff occur clustered with increasing age. Tendinitis calcarea of the shoulder (calcific shoulder) occurs predominantly between the ages of 30 and 50. The maximum incidence of impingement syndrome is around the age of 50.The prevalence for rotator cuff lesions is 5-39% and for impingement syndrome 10-12% (in Germany). Course and prognosis: The shoulder is a joint that is very mobile in many directions. This results in a certain sensitivity. In the context of a lesion of the rotator cuff, a more or less pronounced functional disturbance up to a loss of function of the affected shoulder joint may occur. Bursitis in the shoulder region can be very persistent and protracted. As a rule, it heals without consequences with adequate therapy. The main focus of non-surgical measures for tendinitis calcarea in the shoulder area (calcified shoulder) is pain relief, if possible in conjunction with permanent elimination of the calcified deposit. If these measures are not sufficient, endoscopic surgery becomes necessary. If impingement syndrome is not treated, it leads to chronic tendon irritation. The sooner therapy is started, the more favorable the prognosis. Often, different therapeutic options are combined or applied sequentially.
