Departments: Orthopedics, Pain Department, Spinal Surgery, Hepatobiliary Surgery, Rehabilitation Department.

Qiu Yong Medical Coding Expert Group

Chief physician of Gulou Hospital affiliated to Nanjing University School of Medicine

Chairman of the National Committee of Spine and Spinal Cord of China Rehabilitation Medical Association and President of China Scoliosis Research Association.

Summarize the reasons

Daily diagnosis and treatment

There are many reasons for shoulder pain. The common reasons are local bone or soft tissue lesions in the shoulder and back, pain caused by organ lesions radiating to the shoulder and back, and tumor metastasis to the shoulder and back.

Disease factors

Shoulder itself

get inflamed

Including scapulohumeral periarthritis

, subacromial and deltoid bursitis, joint inflammation and tendon inflammation of shoulder joint, sternoclavicular joint, acromioclavicular joint and glenohumeral joint.

dislocation of joint

Such as humeral head, acromioclavicular joint and sternoclavicular joint subluxation.

Tendon injury

Such as supraspinatus tendinitis, supraspinatus tendon tear (partial or total), others include rotator cuff tear and biceps tendon tear.

Muscle injury

Including muscle strain, myositis, hematoma, muscle fracture (partial or complete), rheumatic polymyositis.

break

Including humeral neck, scapula and clavicle fractures.

neurothlipsis

Including scalene muscle compression nerve (scalene syndrome), first rib and clavicle fracture stabbing nerve (costal lock syndrome), complex regional pain syndrome (shoulder-hand syndrome).

Shoulder tumor

In addition, improper treatment of shoulder diseases, complications and sequelae can also cause shoulder pain.

Extrashoulder cause

cardiovascular

Such as coronary heart disease and hypertrophic cardiomyopathy.

Angina pectoris caused by etc.

Lung and pleura

Including pleurisy

pneumonia

Pulmonary tuberculosis, pneumothorax

Or lung cancer at the top of the upper lobe

Pan-coast syndrome.

spleen

Including splenic infarction, splenic rupture

diaphragm

Including subphrenic abscess, exudative peptic ulcer

liver and gall

Include gallstones and cholecystitis.

Hepatitis

cirrhosis

Or liver cancer

, liver rupture.

pancreas

Including pancreatitis

Tumor, pseudocyst.

nerve

Including herpes zoster.

, brachial plexus neuritis, chest tumor, myelitis

cervical spondylopathy

And other diseases.

environmental factor

Trauma: shoulder fracture, dislocation or soft tissue injury caused by various direct or indirect violence and muscle tension.

way of life

Long-term excessive activity, poor posture and abnormal development of local structure of shoulder joint can all cause chronic shoulder injury.