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A 75-Year-Old Man with Chronic Shoulder Pain (Shoulder Arthritis)

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Practical Chronic Pain Management

Abstract

Osteoarthritis (OA) is a common degenerative disorder of the articular cartilage with multifactorial pathology that is caused by a heterogeneous group of conditions associated with the loss of integrity of articular cartilage and defective changes at the joint margins and underlying bone that leads to hypertrophic changes in the bone. OA has become a very prevalent pathology in the United States as the population ages and becomes more obese.

An estimated 15% (40 million) of Americans had some form or arthritis in 1995. By the year 2020, an estimated 18.2% (59.4 million) will have been affected. Shoulder OA is primarily a clinical diagnosis; however, plain radiography can aid in confirming the diagnosis and to rule out other pathologies. Treatment should begin with less invasive and safer therapies. Therefore, nonsurgical managements should be tried as the first step for treatment of patients with shoulder OA. Surgery should be reserved for patients with chronic pain and disability that persists despite conservative therapies.

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References

  1. Sharma L, Song J, Felson DT, et al. The role of knee alignment in disease progression and functional decline in knee osteoarthritis. JAMA. 2001;286:188–95.

    Article  CAS  Google Scholar 

  2. Felson DT, Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM, et al. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Intern Med. 2000;133:635–46.

    Article  CAS  Google Scholar 

  3. Ruddy S, Harris ED Jr, Sledge CB. Kelley’s textbook of rheumatology. 6th ed. WB Saunders Co: Philadelphia; 2001.

    Google Scholar 

  4. Cotran RS, Kumar V, Collins T, editors. Robbins pathologic basis of disease. 6th ed. Philadelphia: WB Saunders Company; 1999.

    Google Scholar 

  5. Kraus VB. Pathogenesis and treatment of osteoarthritis. Med Clin North Am. 1997;81:85–112.

    Article  CAS  Google Scholar 

  6. Cameron ML, Kocher MS, Briggs KK, Horan MP, Hawkins RJ. The prevalence of glenohumeral osteoarthrosis in unstable shoulders. Am J Sports Med. 2003;31:53–5.

    Article  Google Scholar 

  7. Lawrence RC, Helmick CG, Arnett FC, Deyo RA, Felson DT, Giannini EH, et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum. 1998;41:778–99.

    Article  CAS  Google Scholar 

  8. Luime JJ, Koes BW, Hendriksen IJ, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33:73–81.

    Article  CAS  Google Scholar 

  9. Oh JH, Chung SW, Oh CH, Kim SH, Park SJ, Kim KW, et al. The prevalence of shoulder osteoarthritis in the elderly Korean population: association with risk factors and function. J Shoulder Elb Surg. 2011;20(5):756–63.

    Article  Google Scholar 

  10. Meislin RJ, Sperling JW, Stitik TP. Persistent shoulder pain: epidemiology, pathophysiology, and diagnosis. Am J Orthop. 2005;34:5–9.

    PubMed  Google Scholar 

  11. Urwin M, Symmons D, Allison T, Brammah T, Busby H, Roxby M, et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998;57:649–55.

    Article  CAS  Google Scholar 

  12. van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54(12):959–64.

    Article  Google Scholar 

  13. Manek NJ, Lane NE. Osteoarthritis: current concepts in diagnosis and management. Am Fam Physician. 2000;61(6):1795–804.

    CAS  PubMed  Google Scholar 

  14. Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J. Chronic shoulder pain: part I. Evaluation and diagnosis. Am Fam Physician. 2008;77(4):453–60.

    PubMed  Google Scholar 

  15. Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis and Rheum. 1986;29:1039–49.

    Article  CAS  Google Scholar 

  16. Sinusas K. Osteoarthritis: diagnosis and treatment. Am Fam Physician. 2012;85(1):49–56.

    PubMed  Google Scholar 

  17. Ellman H, Harris E, Kay SP. Early degenerative joint disease simulating impingement syndrome: arthroscopic findings. Arthroscopy. 1992;8(4):482–7.

    Article  CAS  Google Scholar 

  18. McCarty LP 3rd, Cole BJ. Nonarthroplasty treatment of glenohumeral cartilage lesions. Arthroscopy. 2005;21(9):1131–42.

    Article  Google Scholar 

  19. Yoshioka H, Stevens K, Hargreaves BA, et al. Magnetic resonance imaging of articular cartilage of the knee: comparison between fat-suppressed three-dimensional SPGR imaging, fat-suppressed FSE imaging, and fat-suppressed three-dimensional DEFT imaging, and correlation with arthroscopy. J Magn Reson Imaging. 2004;20(5):857–64.

    Article  Google Scholar 

  20. Wenham C, Grainger A, Conaghan P. The role of imaging modalities in the diagnosis, differential diagnosis and clinical assessment of peripheral joint osteoarthritis. Osteoarthr Cartil. 2014;22:1692–702.

    Article  CAS  Google Scholar 

  21. Guidelines for the initial evaluation of the adult patient with acute musculoskeletal symptoms. American College of Rheumatology Ad Hoc Committee on Clinical Guidelines. Arthritis Rheum. 1996;39(1):1–8.

    Google Scholar 

  22. Weinstein DM, Bucchieri JS, Pollock RG, Flatow EL, Bigliani LU. Arthroscopic debridement of the shoulder for osteoarthritis. Arthroscopy. 2000;16(5):471–6.

    Article  CAS  Google Scholar 

  23. Outerbridge RE, Dunlop JA. The problem of chondromalacia patellae. Clin Orthop Relat Res. 1975;110:177–96.

    Article  Google Scholar 

  24. Valiveti M, Reginato AJ, Falasca GF. Viscosupplementation for degenerative joint disease of the shoulder and ankle. J Clin Rheumatol. 2006;12(3):162–3.

    Article  Google Scholar 

  25. American College of Rheumatology. Practice guidelines. Recommendations for the medical management of osteoarthritis of the hip and knee. http://www.rheumatology.org/practice/clinical/guidelines/oa-mgmt.asp. Accessed 9 Aug 2011.

  26. Scott DL, Shipley M, Dawson A, Edwards S, Symmons DP, Woolf AD. The clinical management of rheumatoid arthritis and osteoarthritis: strategies for improving clinical effectiveness. Br J Rheumatol. 1998;37(5):546–54.

    Article  CAS  Google Scholar 

  27. Towheed TE, Maxwell L, Judd MG, Catton M, Hochberg MC, Wells G. Acetaminophen for osteoarthritis. Cochrane Database Syst Rev. 2006;1:CD004257.

    Google Scholar 

  28. Bettencourt RB, Linder MM. Arthrocentesis and therapeutic joint injection: an overview for the primary care physician. Prim Care. 2010;37(4):691–702.

    Article  Google Scholar 

  29. Bannuru RR, Natov NS, Obadan IE, Price LL, Schmid CH, McAlindon TE. Therapeutic trajectory of hyaluronic acid versus corticosteroids in the treatment of knee osteoarthritis: a systematic review and meta-analysis. Arthritis Rheum. 2009;61(12):1704–11.

    Article  CAS  Google Scholar 

  30. American Academy of Orthopaedic Surgeons. The treatment of glenohumeral joint osteoarthritis: guideline and evidence report. Rosemont: American Academy of Orthopaedic Surgeons; 2009. http://www.aaos.org/research/guidelines/gloguideline.pdf. Accessed 9 Aug 2011.

    Google Scholar 

  31. Manheimer E, Linde K, Lao L, Bouter LM, Berman BM. Meta-analysis: acupuncture for osteoarthritis of the knee. Ann Intern Med. 2007;146(12):868–77.

    Article  Google Scholar 

  32. Verhagen AP, Bierma-Zeinstra SM, Boers M, et al. Balneotherapy for osteoarthritis. Cochrane Database Syst Rev. 2007;(4):CD006864.

    Google Scholar 

  33. Ernst E. Complementary treatments in rheumatic diseases. Rheum Dis Clin N Am. 2008;34(2):455–67.

    Article  Google Scholar 

  34. Goodman S. Osteoarthritis. In: Yee A, Paget S, editors. Expert guide to rheumatology. Philadelphia: American College of Physicians; 2005. p. 269–83.

    Google Scholar 

  35. Lichtenstein MJ, Pincus T. How useful are combinations of blood tests in “rheumatic panels” in diagnosis of rheumatic diseases? J Gen Intern Med. 1988;3(5):435–42.

    Article  CAS  Google Scholar 

  36. St Clair SF, Higuera C, Krebs V, Tadross NA, Dumpe J, Barsoum WK. Hip and knee arthroplasty in the geriatric population. Clin Geriatr Med. 2006;22(3):515–33.

    Article  Google Scholar 

  37. Kirkley A, Birmingham TB, Litcheld RB, et al. A randomized trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. 2008;359(11):1097–107.

    Article  CAS  Google Scholar 

  38. Bishop JY, Flatow EL. Management of glenohumeral arthritis: a role for arthroscopy? Orthop Clin North Am. 2003;34(4):559–66.

    Article  Google Scholar 

  39. Sperling JW, Steinmann SP, Cordasco FA, Henshaw DR, Coons DA, Burkhead WZ. Shoulder arthritis in the young adult: arthroscopy to arthroplasty. Instr Course Lect. 2006;55:67–74.

    PubMed  Google Scholar 

  40. Bhatia DN, van Rooyen KS, du Toit DF, de Beer JF. Arthroscopic technique of interposition arthroplasty of the glenohumeral joint. Arthroscopy. 2006;22(5):570.e1–5.

    Article  Google Scholar 

  41. Brislin KJ, Savoie FH, Field LD, Ramsey JR. Surgical treatment for glenohumeral arthritis in the young patient. Tech Shoulder Elbow Surg. 2004;5:165–9.

    Article  Google Scholar 

  42. Pennington WT, Bartz BA. Arthroscopic glenoid resurfacing with meniscal allograft: a minimally invasive alternative for treating glenohumeral arthritis. Arthroscopy. 2005;21(12):1517–20.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, IL, USA

    Behnoosh B. Rahavard, Nebojsa Nick Knezevic & Kenneth D. Candido

  2. Department of Anesthesiology, University of Illinois, Chicago, IL, USA

    Nebojsa Nick Knezevic & Kenneth D. Candido

  3. Department of Surgery, University of Illinois, Chicago, IL, USA

    Nebojsa Nick Knezevic & Kenneth D. Candido

Authors
  1. Behnoosh B. Rahavard
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  2. Nebojsa Nick Knezevic
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  3. Kenneth D. Candido
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Editor information

Editors and Affiliations

  1. Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL, USA

    Tariq Malik

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Rahavard, B.B., Knezevic, N.N., Candido, K.D. (2020). A 75-Year-Old Man with Chronic Shoulder Pain (Shoulder Arthritis). In: Malik, T. (eds) Practical Chronic Pain Management. Springer, Cham. https://doi.org/10.1007/978-3-030-46675-6_14

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  • DOI: https://doi.org/10.1007/978-3-030-46675-6_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-46674-9

  • Online ISBN: 978-3-030-46675-6

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