Background about Pathology

TENDONITIS

Shoulder joint is kept stable by a group of muscles called the rotator cuff, as well as the biceps tendon. These muscles and tendons keep your upper arm bone (humerus) within your shoulder socket (glenoid). In this pathology, Tendonitis in your shoulder occurs when inflammation traps or pinches the muscles and tendons against the top bone in your shoulder (acromion)

rotator cuff tendons become inflamed and irritated, it’s called ratator cuff tendonitis.
biceps tendon becomes inflamed and irritated, it’s called biceps tendonitis

stages to classify your condition

Overuse tendonitis: Repetitive motions can overstress your rotator cuff, which can cause bruising, irritation and fraying of your tendons. This can lead to pain and weakness.
Calcific tendonitis: Over time, inflammation can sometimes cause a buildup of calcium deposits within your rotator cuff tendons. This can lead to loss of shoulder motion and strength.

SIGNS AND SYMPTOMS

Difficulty keeping your arm held in certain positions.

A “clicking” sound when you move your shoulder.

mild swelling

dull aches and soreness

CAUSES

Participation in any sports that require repetitive motions

example :

baseball
tennis
swimming

Working in occupations that involve repetitive movements or require reaching overhead

example :

painters
moovers
roofers

Performing household chores

example:

shoveling
raking

Having a health condition that puts stress on your tendons

arthritis

COMPLICATION

If left untreated, shoulder tendonitis can lead to complications, including:

Loss of motion or strength.
Pain that makes it difficult for you to sleep.
Difficulty performing everyday tasks like fastening buttons or placing objects in high places.

DIAGNOSIS

A healthcare provider will ask about your medical history and perform a physical exam. Depending on their findings, they may also order tests, including:

Blood Test

a blood sample is taken from the patient for laboratory testing to check for infections
an elevated erythrocyte sedimentation rate (ESR, also known as sed rate) or C-reactive protein (CRP) level may indicate infectious or rheumatoid arthritis

Joint fluid analysis

infections can alter the color, consistency, and volume of the fluid within the joints
a sample of this fluid can be withdrawn from the affected joint with a needle
abnormalities of the fluid composition may infectious or rheumatoid arthritis

x ray

radiographic examination of the joints can demonstrate the damage to the joint or narrowing of the

joint space

radiographic examination can also demonstrate fusion of the bone and abnormality of bone structur

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