Shoulder and Elbow

Last Updated: Wednesday,  January 26 2005

The necessary and sufficient criteria for the diagnosis of the post-traumatic stiff shoulder are:

A. History

1. Functionally significant restriction of shoulder motion
2. History of significant shoulder injury or surgery

B. Physical examination

1. Limited glenohumeral motion

C. Radiographs

Criteria for Diagnosis

Last Updated: Wednesday, January 26 2005

The necessary and sufficient criteria for the diagnosis of a frozen shoulder are:

A. History

1. Functionally significant restriction of shoulder motion
2. Absence of history of previous major shoulder injury or surgery

B. Physical examination

The necessary and sufficient criteria for the diagnosis of subacromial abrasion are:

A. History

1. Limited function with arm in intermediate positions of elevation

B. Physical examination

1. Subacromial crepitance which reproduces the function-limiting symptoms" particularly on rotation of the humerus with the arm in intermediate positions of elevations

C. Radiographs

The necessary and sufficient criteria for the diagnosis of glenohumeral rheumatoid arthritis are:

A. History

1. American Rheumatologic Association criteria for rheumatoid arthritis
2. Limited motion and function

B. Physical Examination

1. Limited glenohumeral motion
2. Diagnosis is supported by findings of muscle atrophy and weakness and/or bone on bone crepitance

C. Radiographs

The necessary and sufficient criteria for the diagnosis of glenohumeral rheumatoid arthritis are:

A. History

1. American Rheumatologic Association criteria for rheumatoid arthritis
2. Limited motion and function

B. Physical Examination

1. Limited glenohumeral motion
2. Diagnosis is supported by findings of muscle atrophy and weakness and/or bone on bone crepitance

C. Radiographs

Diagnosis of Glenohumeral Degenerative Joint Disease

Last Updated: January 26 2005

The necessary and sufficient criteria for the diagnosis of primary glenohumeral degenerative joint disease are:

A. History

• Absence of major joint trauma previous surgery or other known causes of secondary degenerative joint disease
• Limited motion and function

B. Physical examination

Last Updated: Wednesday, January 26, 2005

The necessary and sufficient criteria for the diagnosis of glenohumeral avascular necrosis are:

A. History

1. Limited shoulder function
2. Diagnosis is supported by the presence of risk factors such as steroid use

B. Physical Examination

1. Diagnosis is supported by glenohumeral crepitance

C. Radiographs