{"id":14453,"date":"2023-03-13T15:31:48","date_gmt":"2023-03-13T15:31:48","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=14453"},"modified":"2024-12-27T09:46:51","modified_gmt":"2024-12-27T09:46:51","slug":"glenohumeral-osteoarthritis","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/musculoskeletalphysiotherapy\/shoulderelbow\/glenohumeral-osteoarthritis\/","title":{"rendered":"Glenohumeral osteoarthritis"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><a><strong>Glenohumeral osteoarthritis- <\/strong><\/a><strong>Considerations relating to diagnosis<\/strong><br><br>Link to NICE CKS 2017 definitions and diagnostic considerations here;<br><a rel=\"noreferrer noopener\" href=\"https:\/\/bess.ac.uk\/national-guidelines\/#all_0-1421-wpfd-primary-intermediate-care-guidelines\" data-type=\"URL\" data-id=\"https:\/\/bess.ac.uk\/national-guidelines\/#all_0-1421-wpfd-primary-intermediate-care-guidelines\" target=\"_blank\">https:\/\/cks.nice.org.uk\/shoulder-pain#!backgroundsub<\/a><br><br>Link to BESS\/ BOA definitions and diagnostic considerations here;&nbsp;<br><a href=\"https:\/\/bess.ac.uk\/national-guidelines\/#all_0-1421-wpfd-primary-intermediate-care-guidelines\" data-type=\"URL\" data-id=\"https:\/\/bess.ac.uk\/national-guidelines\/#all_0-1421-wpfd-primary-intermediate-care-guidelines\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.bess.org.uk\/application\/files\/2314\/8127\/3403\/Shoulder__Elbow-2016-Thomas-203-14.pdf<\/a><br><br>Link to NICE CKS 2017 osteoarthritis here;<br><a rel=\"noreferrer noopener\" href=\"https:\/\/cks.nice.org.uk\/osteoarthritis#!scenario\" target=\"_blank\">https:\/\/cks.nice.org.uk\/osteoarthritis#!scenario<\/a><br><br>Key points from the above documents (not exhaustive)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Less common cause of chronic shoulder pain but can cause significant pain and disability&nbsp;<\/li>\n\n\n\n<li>Primary osteoarthritis is rare, secondary osteoarthritis accounts for the majority of cases such as following trauma, surgery, chronic rotator cuff tear&nbsp;<\/li>\n\n\n\n<li>Presents with deep joint pain and global restriction of active and passive shoulder movement<\/li>\n\n\n\n<li>Reduced passive external rotation key sign&nbsp;<\/li>\n\n\n\n<li>X-ray required to confirm the diagnosis<\/li>\n\n\n\n<li>Important to note that restricted passive external rotation is seen in other disorders such as frozen shoulder, avascular necrosis and dislocation.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>M.A. &amp; P.A. 13-03-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Glenohumeral osteoarthritis- Considerations relating to diagnosis Link to NICE CKS 2017 definitions and diagnostic considerations here;https:\/\/cks.nice.org.uk\/shoulder-pain#!backgroundsub Link to BESS\/ BOA definitions and diagnostic considerations here;&nbsp;http:\/\/www.bess.org.uk\/application\/files\/2314\/8127\/3403\/Shoulder__Elbow-2016-Thomas-203-14.pdf Link to NICE CKS 2017 osteoarthritis here;https:\/\/cks.nice.org.uk\/osteoarthritis#!scenario Key points from the above documents (not exhaustive) M.A. &amp; P.A. 13-03-23<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4425,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[904],"class_list":["post-14453","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-glenohumeral-osteoarthritis"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/musculoskeletal-physiotherapy\/shoulder-elbow\/https-apps-nhslothian-scot-refhelp-glenohumeral-osteoarthritis\/\" rel=\"tag\">Glenohumeral osteoarthritis<\/a>","rttpg_excerpt":"Glenohumeral osteoarthritis- Considerations relating to diagnosis Link to NICE CKS 2017 definitions and diagnostic considerations here;https:\/\/cks.nice.org.uk\/shoulder-pain#!backgroundsub Link to BESS\/ BOA definitions and diagnostic considerations here;&nbsp;http:\/\/www.bess.org.uk\/application\/files\/2314\/8127\/3403\/Shoulder__Elbow-2016-Thomas-203-14.pdf Link to NICE CKS 2017 osteoarthritis here;https:\/\/cks.nice.org.uk\/osteoarthritis#!scenario Key points from the above documents (not exhaustive) M.A. &amp; P.A. 13-03-23","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14453","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=14453"}],"version-history":[{"count":6,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14453\/revisions"}],"predecessor-version":[{"id":22147,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14453\/revisions\/22147"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4425"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=14453"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=14453"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}