حالة في الكتف

Shoulder Osteoarthritis

الأعراض والتشخيص وخيارات العلاج

Shoulder osteoarthritis occurs when the smooth protective cartilage capping the joint wears away over time, leading to bone-on-bone friction, persistent deep joint aching, and progressive loss of mobility.

د. يوسف محمد

استشاري جراحة الركبة والكتف، حاصل على البورد الألماني

استشاري جراحة العظام حاصل على شهادة البورد الألماني
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رئيس سابق لقسم جراحة العظام (ألمانيا)
أكثر من ١٤ عامًا من الخبرة

احجز استشارة راسلنا عبر واتساب

In a healthy shoulder, smooth articular cartilage allows the ball of the upper arm bone to glide effortlessly within its socket. As osteoarthritis develops, this cartilage gradually thins and degrades, causing joint space narrowing, bone spur formation, and severe stiffness that restricts daily movements like reaching overhead or dressing.

رسم تشريحي

١. التشريح ونظرة عامة

Articular cartilage lining the glenohumeral joint gradually wears down, creating rough joint surfaces, bone spurs, and chronic inflammation.

الفحص السريري

٢. العلامات والأعراض

Deep joint aching, noticeable grinding or clicking (crepitus) during movement, night pain, and progressive loss of arm rotation.

التصوير التشخيصي

٣. التشخيص والأشعة

Standard X-rays clearly reveal joint space narrowing, cartilage loss, and osteophytes. CT scans evaluate bone stock for surgical planning.

العلاج

٤. خيارات العلاج

Initial care includes intra-articular injections and physical therapy. Severe end-stage arthritis is treated with anatomical or reverse shoulder replacement.

إعادة التأهيل

٥. التعافي وإعادة التأهيل

Non-surgical therapies restore daily comfort. Post-joint replacement rehabilitation focuses on restoring functional mobility and pain-free strength.

” ملاحظة سريرية من د. يوسف محمد

Shoulder osteoarthritis progresses gradually, but timely medical intervention—from targeted intra-articular injections to modern joint replacement—can completely eliminate pain and fully restore your arm function and quality of life.

د. يوسف محمد

استشاري جراحة العظام

الأسئلة الشائعة

Can shoulder osteoarthritis be treated without surgery?

Yes. Early to moderate osteoarthritis is managed conservatively using anti-inflammatory medications, physical therapy to preserve joint mobility, and targeted intra-articular cortisone or hyaluronic acid injections to reduce pain and friction.

How do I know if my shoulder arthritis is severe enough for surgery?

Surgery is typically recommended when non-surgical treatments no longer control the pain, when joint stiffness severely impairs basic daily tasks (like grooming or dressing), or when persistent night pain disrupts your sleep.

What is the difference between anatomical and reverse shoulder replacement?

Anatomical shoulder replacement replaces the ball and socket in their natural positions and requires a healthy rotator cuff. Reverse shoulder replacement swaps the position of the ball and socket, allowing the deltoid muscle to power the arm when the rotator cuff is severely torn or deficient.

What is the recovery timeline after shoulder replacement surgery?

Patients wear a protective sling for 3 to 4 weeks while starting gentle physical therapy. Active arm use resumes around 6 weeks, with substantial pain relief and functional recovery achieved within 3 to 6 months post-operatively.

How long does a shoulder joint replacement last?

Modern shoulder prostheses are highly durable. Over 85% to 90% of joint replacements continue to function smoothly for 15 to 20 years or more, providing long-term pain relief and restoring independence in daily activities.

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