 | The Patient feels pains in the
ventral area of the shoulder joint which radiate up to the elbow, i.e.
to the place of an attachment of the biceps to a radium. At
this affection some patients have irradiation and pains in fingers. It leads
to a diagnostics of a neurogenic disorder.
|
| Sometimes there is a swelling
in the area of a distal part of the limb, fully identically as at a syndrome
hand-shoulder.
|
| A morning stiffness.
|
| Problems get worse at night.
|
| The
patient cannot lie on the affected side |
| Some patients have a feeling of
a swelling in the area of the front part of the shoulder, mostly they
describe it earlier than the doctor can objectively find it. This symptom is
rather rare, and it is evoked by bursitis.
|
| An origin is mostly acute during 1-2days. |
| A big restriction of motility
which can be found during the examination of
complex movements as during the examination of
isolated movements when an outer rotation is
restricted most. At the patient a painful
arc is present, and during the examination of isometric
contraction the outer rotation is the most
painful.
|
| During palpation (which is the
most important clinical symptom) a soresness in a process of the tendon
of the long head of the biceps is found.
During palpation an irradiation of the pain in the elbow is usually evoked.
It is important that this is really a local soresness, and the patient is
able to touch the painful place.
|
