Shoulder Arthritis

Abstract

A sixty-eight-year-old lady presents with pain in her right shoulder for the past 18 months. She describes an insidious onset pain, which has gradually been getting worse. She is unable to sleep at night due to pain, which is felt as a deep ache. She has noted a progressive loss of movement, which is affecting her activities of daily living. Examination reveals restriction of range of motion in all planes associated with pain and crepitus. External rotation is barely 10°. Rotator cuff strength is hard to assess due to pain related inhibition.