Shoulder joint is the most mobile and hence most dislocating, ball and socket joint. There are tendons (rotator cuff & biceps) inside the joint to compress the ball into the socket for stability. In addition, ligaments around the socket provide stability at the extreme range of movements like throwing which is the fastest human motion on earth. This makes shoulder prone to various injuries as well as faster wear and tear of tendons, cartilage and bone.
Shoulder being a complex of 5 joints and overlay of cardiac and cervical pain makes the diagnosis a challenge. Cardiac pain starts from the Left side of the chest, radiates to an inner side of the arm, (distribution in C7, 8-T1). Cervical spine pain radiates below the elbow to fingers, a patient is better in lying down position, trapezial irritation is present, Spurling sign is positive & neurological signs may be present. Shoulder pain…
