Degenerative Joint Disease of Shoulder

Question 1

CC of DJD at G-H joint

Answer 1

Pain 
loss of motion 
warmth - inflammation 
crepitance - RATCHET (grind of the bone one another bone) ; cranking 
loss of strength

Question 2

XR of GH DJD

Answer 2

show bony spurs

Question 3

Hx of DJD GH

Answer 3

gradual progression of disability 
serologic history 
hx of systemic disease e.g. RA 
hx of trauma 
hx of prior infection

Question 4

DJD GH

Answer 4

warmth
decreased ROM
Pain - with rest and activity )
Crepitance - significant loss of strength and disuse
Deformity
Systemic findings !!! - especially for rheumatoid arthritis

Question 5

What type of joint is the shoulder?

Answer 5

ball and socket
not a weight bearing joint
movement over stability

Question 6

What are the underlying diseases for DJD at shoulder?

Answer 6

RA and osteoarthritis

Question 7

DJD Objective finding at GH

Answer 7

XR 
CT
MRI
Bone scan
Lab

Question 8

Xray of GH DJD

Answer 8

will show complete GH fusion with almost no hyaline cartilage (interphase in joints) !!!
no space in between
arthritis

Question 9

CT of GH DJD

Answer 9

see the joint better

Question 10

MRI GH DJD

Answer 10

see if Rotator cuff is torn

Question 11

Bone scan GH DJD

Answer 11

don’t use for localized

Question 12

Tx of DJD GH

Answer 12

Non-operative - NSAIDs
modification of activity
heat or cold
PT

Operative - decompression or joint replacement

Question 13

Surgery for DJD GH

Answer 13

metal screws in the bone
cement the joint
bone molecules will grow on the implant