So-called humero-scapular periarthropathy--classification and analysis based on 1,266 cases

Abstract

1266 cases of Periarthropathia humeroscapularis (PHS) were analyzed according to their clinical and sonographic findings. We found in 32.8% a PHS simplex (simple tendinitis), in 12.6% a PHS adhäsiva (stiff and painful shoulder with intact cuff), in 17% a PHS calcarea (calcareous tendinitis) and in 33.3% a PHS destructiva (rotator cuff lesions). Isolated tendinitis of long head of biceps was rare (0.7%). Frozen shoulder (adhaesive capsulitis) was differentiated from PHS adhäsiva and accounted of 1.9%. 33.3% of frozen shoulder patients suffered from type I Diabetes mellitus. Women were more affected by PHS calcarea and Frozen Shoulder. The average age of patients with PHS adhäsiva and PHS destructiva was definitely higher than that of PHS simplex cases. PHS adhäsiva and Frozen Shoulder had an even distribution of affected sides, whereas the right side was favoured from 1.7:1 (PHS calcarea and PHS destructiva) to 3.5:1 (isolated bicipital tendinitis). Cases of rotator cuff tears were stiff in 33.7%, and had active limited motion (pseudoparalysis) in 28.5%.