What are the methods for differential diagnosis of frozen shoulder and rotator cuff injury?

The fundamental difference between frozen shoulder and rotator cuff injury is **, the nature of the pain, the range of motion of the shoulder joint, etc.

1.**: Frozen shoulder is a painful condition caused by tissue adhesions caused by strain and cold in the shoulder joint. Whereas, rotator cuff injuries are caused by injuries to the tendons that make up the rotator cuff, especially supraspinatus tendon rupture.

2.Nature of pain: The pain of frozen shoulder is generally mild during the day and severe at night, and the patient may not be able to sleep. Rotator cuff injuries, on the other hand, are less painful and generally less painful with more activity, and less at night.

3.Shoulder range of motion: Shoulder adhesions caused by frozen shoulder can clearly feel the limitations of active and passive movement. In contrast, patients with rotator cuff injuries are generally able to reach a normal range of motion when the shoulder joint is passively moved.

As a result, patients find frozen shoulder and rotator cuff injuries. You should seek medical attention in a timely manner and carry out relevant work under the guidance of a doctor**.

There are some differences between frozen shoulder and rotator cuff injuries, the feeling of pain is different, and the specific location will be different. You will find that people need to use their shoulders to provide some strength to lift something in their daily life, and if there is frozen shoulder or rotator cuff injury, it will affect daily life.

In ordinary life, many people will have frozen shoulder, cervical spondylosis is related to the shoulder at this time, and there will be some diseases when the shoulder is abnormal. Frozen shoulder and rotator cuff injury are both shoulder diseases, and there are some differences between the two diseases, which are easily confused by many people. In fact, the difference is relatively large, both in terms of pain symptoms and in the nature of pain.

Both frozen shoulder and rotator cuff injuries can experience severe pain, but the symptoms of these two types of pain are different. If you have frozen shoulder, the shoulder will have special pain mainly at night, and the number of pain during the day is less than that of rotator cuff injury.

However, when you rest at night, you can't sleep because of the intense pain, and you can wake up easily in the middle of the night. If it is a rotator cuff injury, it is because the rotator cuff is damaged, which causes this feeling to be more painful, and if you accidentally touch this part of the shoulder, the pain will increase, so this pain is not time and place, and it is different from the pain and time of frozen shoulder patients.

Because the nature of the pain is different between the two conditions, activity is also limited, with more pain in patients with frozen shoulder and less severe in patients with rotator cuff injuries. In normal life, people with frozen shoulder are unable to move their shoulders and have difficulty moving. Only through the guidance of others can they complete some movements with a relatively large amplitude, and people with rotator cuff injuries can complete some actions through their own willpower and ability, so the condition will be milder.

The concepts are different, the essence is different, the symptoms are different, and the causes are different; If you want to make an effective distinction, you should look at his symptoms, for frozen shoulder, it will generally lead to a certain limitation of our range of motion, and rotator cuff injury will mainly cause a series of damage to the tendon tissue, which will be particularly weak.

The degree of injury is different, the location of the disease is different, the state of onset is different, the degree of pain is different, and the process is different. It can be judged by the time of the pain and the state of the disease, and it can also be judged by the location of the pain.

[Summary].Rotator cuff injuries are common in volleyball, gymnastics, and swimmers, and for people who like to participate in sports, rotator cuff injuries can be caused by too high a shoulder exercise load or too strong movements. In order to facilitate a better understanding, the following will provide a detailed analysis of the symptoms of rotator cuff injury.

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1. Shoulder joint pain.

In the early stages of rotator cuff injury, the pain is intermittent, worsens after exercise and when lying on the affected side at night, and lessens with rest; When the shoulder is raised, the pain is pronounced or worsened; Shoulder pain is common when playing high balls and smashes, and the symptoms will be reduced by reducing high ball and smash drills. The acute phase of rotator cuff injury is severe and persistent, and symptoms worsen after shoulder activity or increased load. Passive external rotation of the scapular joints can also worsen the pain.

2. Shoulder joint dysfunction.

In patients with severe rotator cuff injury, active shoulder lifting, external rotation, and abduction functions will be limited. Among them, the range of shoulder abduction and forward lift was less than 45°, but the passive range of motion was not significantly limited.

3. Muscle atrophy.

It is common in patients with a long period of disease, and atrophy of the supraspinatus, infraspinatus, and deltoid muscles is more common.

4. Glenohumeral intraarticular friction rub.

Rotator cuff injuries are divided into shoulder pain, shoulder dysfunction, muscle atrophy, and glenohumeral intra-articular friction rub, and the symptoms of rotator cuff injuries are also different. When you find that you have symptoms of rotator cuff injury, you should go to the hospital as soon as possible to confirm **.

Many middle-aged and elderly people often complain of pain or stiffness in the shoulder joint during activity, they have the same complaints and symptoms, when the shoulder joint moves to a certain angle, pain or weakness, arms can not be raised, sleep at night often wake up in pain, can not lie on the side, pain lasts for more than a year, during the period to many hospitals Jane, are regarded as "frozen shoulder"**, but long-term cure, have done manual massage, physiotherapy, traditional Chinese medicine, acupuncture, closure, etc., but also follow the doctor's instructions to insist on exercising every day, climbing the wall, pulling the ring, stick exercises, rope exercises, Although there have been various conservatisms**, it has not improved. The pain worsens after each exercise and the condition continues to deteriorate. After careful examination, it turned out that they all suffered from the same kind of injury "rotator cuff injury".

Shoulder pain and weakness are predominant.

The rotator cuff is a collective term for the four tendons in the shoulder joint, which wrap around the humeral head in the form of a cuff. The rotator cuff is located between the acromion and the humeral head, and its main function is to help the shoulder joint stabilize and move, protect the humeral head from the deltoid muscle traction and move up, and avoid collision with the acromion, which is a very important group of structures. But the rotator cuff is also a tissue that is very susceptible to injury and tearing.

Rotator cuff injuries are very common in elderly patients over the age of 60 who present with a presenting complaint of shoulder pain, with a prevalence of up to 70%, much higher than the so-called "frozen shoulder". In the past, due to the limitations and misunderstandings in the understanding of this type of disease, most patients were misdiagnosed as "frozen shoulder", resulting in ** mistakes and patient suffering. There are many diseases that cause shoulder pain, including rotator cuff tears, acromial impingement, coracoid impingement, frozen shoulder, sternoclavicular arthropathy, slap injury, anterior shoulder instability, tendinopathy, calcific supraspinal tendonitis, cervical spondylosis, thoracic outlet syndrome, etc., which require specially trained specialists and very serious differential diagnosis skills.

The mechanism of rotator cuff injury can be divided into acute laceration injury and chronic strain injury. Acute lacerations are common in heavy lifting, shoulder support during falls, external violent pulling, etc., such as passengers standing on the lever on a bus, suddenly losing their balance when braking suddenly, etc., may cause rotator cuff lacerations. Chronic strain injuries are often caused by a fall that pushes the upper limb on the ground or lifts a heavy object.

Regular participation in sports, strained shoulders, or overuse of upper limbs; It is also more common among people who have been engaged in tennis, baseball, badminton, swimming, mountaineering and other sports that require the upper limbs to be lifted above the head.

Rotator cuff injuries are mainly manifested as pain when the shoulder is abducted and lifted, and the severely injured shoulder needs the help of the contralateral hand to complete the lifting action because of the weakness of the shoulder joint lift, and sometimes there may be a mild degree of shoulder joint mobility restriction combined. Functional exercises do not help relieve pain in rotator cuff tears. If it is mistaken for "frozen shoulder", allowing patients with rotator cuff tears to continue to exercise such as "climbing the wall", or artificially forcibly loosening the shoulder joint, may cause the rotator cuff tear to continue to expand, and finally form a huge or irreparable rotator cuff tear, aggravating the injury, which is a highly disabling disease and should be taken seriously.

It is recommended to go to the hospital to take a film to see it.

Go to the hospital for a check-up and you'll find out!

The rotator cuff is a general term for tendon tissues such as the subscapularis muscle, supraspinatus, infraspinatus, and teres minor, which cover the anterior, superior, and posterior parts of the shoulder joint. It is located below the acromion and deltoid muscles and is tightly connected to the joint capsule. The function of the rotator cuff is to bring the humeral head closer to the glenoid during the abduction of the upper arm, and to maintain the normal fulcrum joint between the humeral head and the glenoid.

Rotator cuff injuries will weaken or even lose this function, seriously affecting the abduction function of the upper extremity. It often occurs in repetitive sports that require extreme abduction of the shoulder joint (eg, baseball, freestyle, backstroke, and butterfly, weightlifting, racket sports).

It's the same, it's just a different name, there's no difference, it's actually just a disease, and it's called different in different places, and some places call frozen shoulder also called fifty shoulders, frozen shoulders. Frozen shoulder is generally afraid of cold, many patients use cotton pads to wrap their shoulders all year round, even in the summer, the shoulders do not dare to blow the wind, can be acupuncture, prescription multi good paste, external application. Eat lightly, take more rest, and don't get hurt.

Disease knowledge, medical knowledge, clinical knowledge, health science knowledge, to help you with your disease** ( l ) Manifestations of patients with rotator cuff injury: Shoulder pain, especially at night. The pain is located in the anterolateral aspect of the shoulder joint and in the deltoid region; Impairment of shoulder joint mobility, limited movement in multiple directions such as abduction, lifting, extension, and internal rotation; Muscle atrophy, patients with large tears or a long history of disease may have atrophy of muscles such as supraspinatus and infraspinatus muscles.

2) Clinical signs of rotator cuff injury: presence of abduction pain arc; ② neer 'positive sign S; hawkin, positive sign; Patients with giant rotator cuff tears may have a positive drop arm sign; There may be a plucking sound of the rotator cuff sliding over the bony surface when the joint is turned. The sensitivity and specificity of ultrasonography or MRI for full-thickness rotator cuff tears are high, but MRI may be required to improve the accuracy of diagnosis in patients with partial rotator cuff tears.

The difference between frozen shoulder and rotator cuff injury, rotator cuff injury can lift the arm up with the help of someone, frozen shoulder cannot.

The difference between the two is that rotator cuff injuries are mainly manifested by pain and weakness in the shoulder joint, while frozen shoulder is pain and limitation of range of motion in the shoulder. There are many causes of shoulder pain, and frozen shoulder is actually quite a complex term. It includes a lot of bugs.

Rotator cuff injuries can lift the arm, whereas frozen shoulder can not lift the arm.

Many people have shoulder pain that is thought to be frozen shoulder or rotator cuff injury, and there is a difference between the two. As long as the cause is different, frozen shoulder is caused by sitting and standing in one position for long periods of time, while rotator cuff injuries are caused by exercising or working too hard.

Rotator cuff injuries are mostly damage to the soft tissues around the shoulder, and the pain is mild, day and night. Frozen shoulder is inflammation around the joints, and the pain is severe, worse at night.

If it is an injury, it will be relieved slowly, and it will not be painful all the time, and it will slowly get better with a plaster, but the frozen shoulder plaster can only relieve the pain.

Frozen shoulder can affect the range of motion, but rotator cuff injuries are not a symptom.

The difference between the two is that frozen shoulder is so painful that you dare not move, and you can still move if the rotator cuff is injured.

The difference between the two is huge, frozen shoulder is simply unable to move, and it hurts very much when moving.

I really don't know about this, it's not good anyway, so let's be active and active, which will help your physical and mental health.