Download PDF
Semin Musculoskelet Radiol 2015; 19(03): 307-318
DOI: 10.1055/s-0035-1549324
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Arthritis at the Shoulder Joint

Prashant Sankaye
1   Department of Radiology, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, United Kingdom
,
Simon Ostlere
2   Oxford Musculoskeletal Radiology, Oxford, United Kingdom
› Author Affiliations
Further Information

Publication History

Publication Date:
28 May 2015 (online)

Also available at
    Permissions and Reprints

Abstract

The shoulder is a complex joint with numerous structures contributing to mobility and stability. Shoulder pain is a common clinical complaint that may be due to a wide spectrum of disorders including rotator cuff disease, instability, and arthropathy. Primary osteoarthritis of the shoulder joint is uncommon because it is a non–weight-bearing joint. Significant osteoarthritis of the glenohumeral joint is unusual in the absence of trauma, and the detection of advanced degenerative changes in patients without a known history of trauma should alert the clinician to search for other disorders. This article reviews the pathogenesis, clinical manifestations, and key imaging findings of the common categories of the arthritis affecting the glenohumeral joint.

Keywords

glenohumeral arthritis - shoulder arthritis - osteoarthritis - amyloidosis - gout - hemophilia - capsulorrhaphy arthropathy
 

  • References

  • 1 Resnick D. Diagnosis of Bone and Joint Disorders. 4th ed. Philadelphia, PA: WB Saunders; 2002: 1023-1054 , 1082–1089
    Google Scholar
  • 2 National Center for Chronic Disease Prevention and Health Promotion, Division of Adult and Community Health. Arthritis. Available at: http://www.cdc. gov/arthritis . Accessed January 22, 2015
    PubMedGoogle Scholar
  • 3 Memel DS, Kirwan JR, Sharp DJ, Hehir M. General practitioners miss disability and anxiety as well as depression in their patients with osteoarthritis. Br J Gen Pract 2000; 50 (457) 645-648
    PubMedGoogle Scholar
  • 4 Grainger AJ, McGonagle D. Imaging in rheumatology. Imaging 2003; 15: 287-97
    PubMedGoogle Scholar
  • 5 Saltzman MD, Mercer DM, Warme WJ, Bertelsen AL, Matsen III FA. Comparison of patients undergoing primary shoulder arthroplasty before and after the age of fifty. J Bone Joint Surg Am 2010; 92 (1) 42-47
    CrossrefPubMedGoogle Scholar
  • 6 Abramson SB, Attur M, Yazici Y. Prospects for disease modification in osteoarthritis. Nat Clin Pract Rheumatol 2006; 2 (6) 304-312
    PubMedGoogle Scholar
  • 7 Krasnokutsky S, Attur M, Palmer G, Samuels J, Abramson SB. Current concepts in the pathogenesis of osteoarthritis. Osteoarthritis Cartilage 2008; 16 (Suppl. 03) S1-S3
    PubMedGoogle Scholar
  • 8 Farid N, Bruce D, Chung CB. Miscellaneous conditions of the shoulder: anatomical, clinical, and pictorial review emphasizing potential pitfalls in imaging diagnosis. Eur J Radiol 2008; 68 (1) 88-105
    CrossrefPubMedGoogle Scholar
  • 9 Brox JI, Lereim P, Merckoll E, Finnanger AM. Radiographic classification of glenohumeral arthrosis. Acta Orthop Scand 2003; 74 (2) 186-189
    CrossrefPubMedGoogle Scholar
  • 10 Kerr R, Resnick D, Pineda C, Haghighi P. Osteoarthritis of the glenohumeral joint: a radiologic-pathologic study. AJR Am J Roentgenol 1985; 144 (5) 967-972
    CrossrefPubMedGoogle Scholar
  • 11 Iannotti JP, Norris TR. Influence of preoperative factors on outcome of shoulder arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 2003; 85-A (2) 251-258
    PubMedGoogle Scholar
  • 12 Godenèche A, Boileau P, Favard L , et al. Prosthetic replacement in the treatment of osteoarthritis of the shoulder: early results of 268 cases. J Shoulder Elbow Surg 2002; 11 (1) 11-18
    CrossrefPubMedGoogle Scholar
  • 13 Green A, Norris TR. Imaging techniques for glenohumeral arthritis and glenohumeral arthroplasty. Clin Orthop Relat Res 1994; (307) 7-17
    PubMedGoogle Scholar
  • 14 Gupta KB, Duryea J, Weissman BN. Radiographic evaluation of osteoarthritis. Radiol Clin North Am 2004; 42 (1) 11-41 , v
    CrossrefPubMedGoogle Scholar
  • 15 Zuckerman JD, Matsen III FA. Complications about the glenohumeral joint related to the use of screws and staples. J Bone Joint Surg Am 1984; 66 (2) 175-180
    CrossrefPubMedGoogle Scholar
  • 16 University of Washington Medicine. Mechanics of glenohumeral arthritis. Available at: http://www.orthop.washington.edu/?q=patient-care/articles/shoulder/mechanics-of-glenohumeral-arthritis.html . Accessed January 22, 2015
    PubMedGoogle Scholar
  • 17 Randelli M, Gambrioli PL. Glenohumeral osteometry by computed tomography in normal and unstable shoulders. Clin Orthop Relat Res 1986; (208) 151-156
    PubMedGoogle Scholar
  • 18 Sivardeen Z, Stanley D. The surgical management of rheumatoid arthritis of the shoulder and elbow. Curr Orthop 2007; 21 (5) 325-329
    CrossrefPubMedGoogle Scholar
  • 19 Thomas T, Noël E, Goupille P, Duquesnoy B, Combe B ; GREP. The rheumatoid shoulder: current consensus on diagnosis and treatment. Joint Bone Spine 2006; 73 (2) 139-143
    CrossrefPubMedGoogle Scholar
  • 20 MacGregor AJ, Silman AJ. Rheumatoid arthritis, classification and epidemiology. In: Klippel JH, Dieppe PA, Ferri FF, , eds. Rheumatology. London, UK: Mosby; 1999
    Google Scholar
  • 21 Lehtinen JT, Kaarela K, Belt EA, Kautiainen HJ, Kauppi MJ, Lehto MUK. Incidence of glenohumeral joint involvement in seropositive rheumatoid arthritis. A 15 year endpoint study. J Rheumatol 2000; 27 (2) 347-350
    PubMedGoogle Scholar
  • 22 Lehtinen JT, Kaarela K, Belt EA, Kautiainen HJ, Kauppi MJ, Lehto MUK. Incidence of acromioclavicular joint involvement in rheumatoid arthritis: a 15 year endpoint study. J Rheumatol 1999; 26 (6) 1239-1241
    PubMedGoogle Scholar
  • 23 Narváez JA, Narváez J, Roca Y, Aguilera C. MR imaging assessment of clinical problems in rheumatoid arthritis. Eur Radiol 2002; 12 (7) 1819-1828
    CrossrefPubMedGoogle Scholar
  • 24 Lehtinen JT, Lehto MU, Kaarela K, Kautiainen HJ, Belt EA, Kauppi MJ. Radiographic joint space in rheumatoid glenohumeral joints. A 15-year prospective follow-up study in 74 patients. Rheumatology (Oxford) 2000; 39 (3) 288-292
    CrossrefPubMedGoogle Scholar
  • 25 Laine VAI, Vainio KJ, Pekanmäki K. Shoulder affections in rheumatoid arthritis. Ann Rheum Dis 1954; 13 (2) 157-160
    CrossrefPubMedGoogle Scholar
  • 26 Neer CS. The rheumatoid shoulder. In: Crubbs RL, Mitchell NS, , eds. The Surgical Management of Rheumatoid Arthritis. Philadelphia, PA: JB Lippincott; 1971: 117-127
    Google Scholar
  • 27 Chen AL, Joseph TN, Zuckerman JD. Rheumatoid arthritis of the shoulder. J Am Acad Orthop Surg 2003; 11 (1) 12-24
    PubMedGoogle Scholar
  • 28 Chen D-Y, Haw-Chang Lan H, Lai K-L, Chen H-H, Chen Y-M, Chen C-P. Diagnostic utility of US for detecting rotator cuff tears in rheumatoid arthritis patients: comparison with magnetic resonance imaging. J Med Ultrasound 2014; 22 (4) 1-7
    CrossrefPubMedGoogle Scholar
  • 29 Yu JS, Chung C, Recht M, Dailiana T, Jurdi R. MR imaging of tophaceous gout. AJR Am J Roentgenol 1997; 168 (2) 523-527
    CrossrefPubMedGoogle Scholar
  • 30 Dieppe PA. Milwaukee shoulder. Br Med J (Clin Res Ed) 1981; 283 (6305) 1488-1489
    CrossrefPubMedGoogle Scholar
  • 31 Steinbach LS, Resnick D. Calcium pyrophosphate dihydrate crystal deposition disease revisited. Radiology 1996; 200 (1) 1-9
    CrossrefPubMedGoogle Scholar
  • 32 Llauger J, Palmer J, Rosón N, Bagué S, Camins A, Cremades R. Nonseptic monoarthritis: imaging features with clinical and histopathologic correlation. Radiographics 2000; 20 (Spec No) S263-S278
    CrossrefPubMedGoogle Scholar
  • 33 Hermann G, Gilbert MS, Abdelwahab IF. Hemophilia: evaluation of musculoskeletal involvement with CT, sonography, and MR imaging. AJR Am J Roentgenol 1992; 158 (1) 119-123
    CrossrefPubMedGoogle Scholar
  • 34 Kiss E, Keusch G, Zanetti M , et al. Dialysis-related amyloidosis revisited. AJR Am J Roentgenol 2005; 185 (6) 1460-1467
    CrossrefPubMedGoogle Scholar
  • 35 Miyata M, Sato N, Watanabe H , et al. Magnetic resonance imaging findings in primary amyloidosis-associated arthropathy. Intern Med 2000; 39 (4) 313-319
    CrossrefPubMedGoogle Scholar
  • 36 Hughes TH, Sartoris DJ, Schweitzer ME, Resnick DL. Pigmented villonodular synovitis: MRI characteristics. Skeletal Radiol 1995; 24 (1) 7-12
    CrossrefPubMedGoogle Scholar
  • 37 Learch TJ, Farooki S. Magnetic resonance imaging of septic arthritis. Clin Imaging 2000; 24 (4) 236-242
    CrossrefPubMedGoogle Scholar
  • 38 Hong SH, Kim SM, Ahn JM, Chung HW, Shin MJ, Kang HS. Tuberculous versus pyogenic arthritis: MR imaging evaluation. Radiology 2001; 218 (3) 848-853
    CrossrefPubMedGoogle Scholar
  • 39 Tamai K, Hamada J, Ohno W, Saotome K. Surgical anatomy of multipart fractures of the proximal humerus. J Shoulder Elbow Surg 2002; 11 (5) 421-427
    CrossrefPubMedGoogle Scholar
  • 40 Petersson CJ. Degeneration of the gleno-humeral joint. An anatomical study. Acta Orthop Scand 1983; 54 (2) 277-283
    CrossrefPubMedGoogle Scholar
  • 41 Mohana-Borges AV, Chung CB, Resnick D ; Mohana-BorgesAV. Monoarticular arthritis. Radiol Clin North Am 2004; 42 (1) 135-149
    CrossrefPubMedGoogle Scholar