Modern views at humeri-scapular pain syndrome (literature review)


  • Svetlana Іakovenko
  • Igor Kotulskiy



shoulder joint, frozen shoulder pain syndrome, diagnostics, ultrasound, magnetic resonance imaging


The article is dedicated to the definition of shoulder pain (SP) in medical science and practice. It is believed that SP is a polyetiological symptoms type. It is noted that the pain in the shoulder in 85 % is associated with the pathology of musculoskeletal structures in the area of the shoulder joint, and the true neurogenic pathology appears relatively infrequently (no more than 8–10 % of all patients with pain in the shoulder area). There are abnormal tendons surrounding the joint muscles, affection of clavicular-acromial joint (degenerative, traumatic), diffuse lesion of the joint capsule, subacromial syndrome, impaction of sudeltoid-subacromial bursa and peripheral nerves. It is also the cause of the pain may be changes in the cervical and thoracic spine. In ICD-10 all periarticular lesion presented as separate clinical entities: tendini­tis of the rotator cuff muscles (indicating a specific muscle) biceps tendinitis, calcific tendinitis, tears (partial or complete) of mus-cle tendons of the shoulder joint area. Analyzed and summarized the main approaches to the clinical evaluation of patients with SP. It is shown that the clinical symptoms of SP pain develop gradually, with localization on the front, side and less on the posterior surface. It was found that the most informative instrumental methods in the diagnosis of patients with SP along with radiographs are computer-spiral and magnetic resonance imaging, ultrasonography (US). With the help of ultrasound one may conduct initial clinical assessment of the state of patients with complaints of pain in the shoulder joint. Laboratory methods for evaluation of pati-ents with SP limited and not widespread in medical practice, which requires further study.


Shein AP, Menshchikova IA, Ocheretina IG. The functional characteristics of upper limb muscles in patientswith humeroscapular periarthrosis during their treatment including the myofascial pain syndrome. Genii ortopedii. 2005;(3):44–7.

Nikiforov AS, Mendel O. Pain in humeroscapular area: a modern approach to diagnosis and treatment. Russian Medical Journal. 2008;16(12):1701–04.

Kotulskyy IV, Kutsenko VO, Dupliy DR, Yakovenko SM. Glenohumeral pain sindrom as a manifestation of pathologies of the thoracic spine. Proceedings of the XVI Congress of orthopedic trauma Ukraine, Kharkiv. 3–5 оctober 2013.

Belenky AG. Treatment of diseases of periarticular tissues of the shoulder joint. Consilium medikum. 2004;6(2).

Korzh NA, Kotulsky IV. Pain syndromes of the upper extremities as a manifestation of pathology cervical-thoracic spinal column. Doctor. 2005;4:16–7.

Lutsyk AA, Prokhorenko VM, Tregub IS, et al. Contact the shoulder-blade periarthrosis with degenerative diseases of the spine. Genii ortopedii. 2015;(3):50–4.

Soloha OA. Pain in the shoulder joint region: an approach neurologist. Consilium medikum. 2004;6(2):92–5.

Strafun SS, Serhiyenko RO, Dolhopolov OV. Glenohumeral pereartryt - problems of diagnosis, or out of a difficult situation? Annals of Traumatology and Orthopedics. 2003;(1–2):135–8.

Mironov SP, Lomtatidze ESh, Tsykunov MB, et al. Frozen shoulder pain: a monograph. Volgograd, 2006. 87 p.

Skvortsov VV, Tumarenko AV, Odintsov VV, et al. Current problems in the diagnosis and treatment of frozen shoulder. Polyclinic. 2011;2:56–8.

De Carli A, Pulcinelli F, Delle Rose G, Pitino D, Ferretti A. Calcific tendinitis of the shoulder. Joints. 2014;2(3):130–6.

Afanasiev SL, Tarasenko SF, Tarasenko LL, et al. Some aspects of pathogenesis and principles of treatment of shoulder tendonitis calcification. Bulletin of Surgut State University. Medicine. 2014;4(22):27–32.

Guyvera PM, Bruce DJ, Rees JL. Frozen shoulder — a stiff problem that requires a flexible approach. Maturitas. 2014;78:11–6. doi: 10.1016/j.maturitas.2014.02.009.

Strafun SS, Serhienko RS. Adhesive capsulitis of the shoulder — problems of the diagnosis and treatment. Visnik orthopаedii, traumatologii i protezuvannya. 2002;(4):5–8.

Khitrov NA. Options periarthritis of the shoulder joint: differential diagnosis, course, treatment. Russian Medical Journal. Rheumatology. 2012;7:366–72.

Nasonova EL. Clinical guidelines. Rheumatology. Moskow: GEOTAR Media, 2008. 288 p.

Garofalo R, Flanagin B, Cesari E, Vinci E, Conti M, Castagna A. Destructive septic arthritis of shoulder in adults. Musculoskelet Surg. 2014 Apr;98 Suppl 1:35-9. doi: 10.1007/s12306-014-0317-0.

Misikov VK. The syndrome of the shoulder-blade periarthrosis. Clinic, diagnostics, treatment. Russian Medical Journal. 2014;10:723–7.

Hitrov NA. Pain in the shoulder and periarthritis of the shoulder joint: diagnosis and treatment. Polyclinic. 2015;1:40–6.

Solokha OA. Diagnosis and treatment of syndrome of shoulder periartropatii. Journal of Neurology. 2006;1(11):26–31.

Trevell JG, Simons DG. Myofascial pain. Moskow: Medicine, 1989;2:257–77, 303-20.

Belenky AG. The pathology of the shoulder joint. Frozen shoulder. Parting with the term: from about to the specific forms. Consilium medicum. 2004;6(2):15–20.

Sanders TG, Jersey SL. Conventional radiography of the shoulder. Semin. Roentgenol. 2005;40(3):207–22.

Banks KP, Beall DP, McCollum MJ, Ly JQ, Jones TP, Porter WD, Thompson DB, Shinault SS, Lastine CL, Wolff JD, Wu DH. The accuracy of magnetic resonance imaging in the assessment of glenohumeral articular degenerative disease. Okla State Med Assoc. 2007;100(2):52–6.

Zubarev AV, Gazhonova VE, Dolgov IV. Ultrasound in Trauma: A Practical Guide. Moskow: Strom, 2003. pp. 91–102.

Bukowski JV, Isaakyan KG. The role of high-tech radiological methods in the diagnosis of pain in the shoulder. Medical imaging. 2009;(4):20.

Akimkina AM, Goncharov EN, Rodionova AV, et al. The possibilities of magnetic resonance imaging in the diagnosis of instability of the shoulder joint. Electronic collection of scientific papers «Health and Education in the XXI century». 2011;1:70–6.

Bryuhanov AV. Magnetic resonance imaging in the diagnosis of instability of the shoulder joint (lecture). Radiology Practice. 2013;4:52–8.

Eugene G McNally. Practical Musculoskeletal Ultrasound. Мoskow: Vidar-М, 2007. pp. 17–26,61–79.

Hintsman J, Kupats P. Ultrasound of the musculoskeletal system. Standard scanning plane. Moskow: MEDpress-Inform, 2013. pp. 16–44.

Abdulayev RY, Kerimov SG, Hvisyuk AN, Marchenko VG. Ultrasonography soft tissues of the musculoskeletal system. Training allowance. Kharkiv: Nove slovo, 2012. 148 p.

Strafun SS, Gayko OG, Sergiyenko RS. Electromyographic changes of the deltoid in adhesive capsulitis of the shoulder. Visnik orthopedii, traumatologii i protezuvannya. 2004;(3):62–4.

Lukovskaya O. Methods and means of physical rehabilitation at the large joint dislocations of the upper limb. Youth Science Journal. 2014;5:139–43.

Sachs LA, Yudin VA, Shvetsov VV. Outpatient surgical care for pain in the shoulder, new aspects of pathogenesis and treatment. Bulletin of the National Medical and Surgical Center to them. NI Pirogov. 2013;8(1):46–51.

Abdulaev RYa, Dudnik TA. Shoulder ultrasonography: methodical aspects and normal anatomy. URZH. 2009;17:140–5.

Iagnocco А, Filippucci Е, Meenagh G, Delle Sedie A, Riente L, Bombardieri S, Grassi W, Valesini G. Ultrasound imaging for the rheumatologist. I. Ultrasonography of the shoulder. Clin Exp Rheumatol. 2006;24(1):6–11.

Moosikasuwan JB, Miller TT, Burke BJ. Rotator cuff tears: clinical, radiographic, and US findings. Radiographics. 2005;25(6):1591–607.

She G, C. Nie C, Liu Y, et al. Bilateral ultrasound-guided supraclavicular brachial plexus block in shoulder joint release surgery for shoulderperiarthritis. Nan Fang Yi Ke Da Xue Xue Bao. 2015;35(8):1193–6.

Ottenheijm RP, van't Klooster IG, Starmans LM, Vanderdood K, de Bie RA, Dinant GJ, Cals JW. Ultrasound-diagnosed disorders in shoulder patients in daily general practice: a retrospective observational study BMC Fam Pract. 2014;15:115. doi: 10.1186/1471-2296-15-115.

Abdulaev RY, Dzyak GV, Dudnik TA. Ultrasonography of the shoulder joint. Kharkiv: New word, 2010. 88 p.

Wagner E, Arditi D, Guerne PA, Lanier C. Diagnostic imaging for atraumatic shoulder pain. Rev Med Suisse. 2013;9(399):1726–31.

Perfilova LV, Gayko OG, Vovchenko HYa, Rusanova TYe. Complex investigation of patients with pathologyof periarticular structures of shoulder joint. Visnik orthopedii, traumatologii i protezuvannya.. 2009;(3):67–75.

Iakovenko SM, Leont’eva FS. The results of ultrasound shoulder joints and biochemical markers in serum of patients with pain humeroscapular. Bulletin problems of biology and medicine. 2015;3,1(122):249–53.




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