Shoulder contusion and improper traction treatment caused by right upper limb injury or long fixation time. The main manifestations are limited movement in all directions of the right shoulder and local pain. With the continuous development of the disease, the range of pain gradually expanded to the right shoulder and back and the middle of the upper arm. In severe cases, you can't lift your right upper arm and touch your back with your backhand. X-ray examination showed different degrees of shoulder osteoporosis, MRI showed thickening of joint capsule and exudation of synovial capsule.
Symptoms get worse in the morning or after the weather changes and catch cold, and the pain will be relieved after the activity, often recurring. During acute attack, local muscles will twitch and become stiff, and their activities will be limited to some extent. When the weather changes, it is cold and humid, overworked and nervous, the pain symptoms will be aggravated. X-ray examination can make the bones of neck and shoulder have different degrees of degenerative changes. The erythrocyte sedimentation rate of some patients is accelerated. When anti-hemolytic streptococcus 0 is positive, it indicates that the lesion is related to rheumatic activity.
Right upper lobe pleurisy and tuberculosis: These two diseases can also cause symptoms of right shoulder and back pain, which are often obvious when coughing or breathing, but they are not simple shoulder and back pain, and are often accompanied by symptoms of lung diseases such as fever, emaciation, fatigue, cough, expectoration, chest tightness and hemoptysis. Hepatobiliary system diseases: intrahepatic bile duct stones and cholecystitis often show symptoms of right chest back pain and right upper abdominal pain. Pain usually radiates to the right shoulder. Often accompanied by fever, jaundice, nausea, vomiting and other symptoms of hepatobiliary inflammation.