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Arthritis of the Shoulder JointOwn Your Copy Today

Inflammation of the structures of the shoulder joint is uncommon. It is secondary to changes in the joint capsule or, more frequently, to bony changes of the articular surfaces of the humerus or scapula (such as might be caused by osteochondrosis). Occasionally, fractures involving the articular surfaces are present. Trauma to the point of the shoulder is a frequent cause. Bacterial infection of the joint from puncture wounds or of hematogenous origin (pyosepticemia) in foals results in a purulent arthritis.
A swinging- and supporting-leg lameness are present in severe cases. In milder cases, only the swinging-leg lameness may be noted. The forward phase is shortened, the toe may be worn, and the leg is often circumducted to avoid flexion of the joint. Forced extension of the leg, which pulls the shoulder forward, often causes pain. Radiographs of the shoulder joint, preferably taken with the horse in lateral recumbency, may demonstrate the arthritic changes.
Often, treatment is ineffective because of severe arthritic changes. Intra-articular injections of a steroid may be of some benefit. Systemic steroids or phenylbutazone may relieve signs of pain. Hyaluronic acid, because of its apparent benefit in cases of degenerative disease in other joints, may be considered.

See Also
Introduction
The Lameness Examination
Overview
Imaging Techniques
Overview
Anatomic Imaging Techniques
Physiologic Imaging Techniques
Arthroscopy
Regional Analgesia
Disorders of the Foot
Bone Cyst in Pedal Bone
Bruised Sole and Corns
Canker
Contracted Heels
Fracture of Navicular Bone
Fracture of Pedal Bone
Keratoma
Laminitis
Navicular Disease
Pedal Osteitis
Puncture Wounds of the Foot
Pyramidal Disease
Quittor
Sandcrack
Scratches
Seedy Toe
Sheared Heels
Sidebone
Thrush
Disorders of the Fetlock and Pastern
Fracture of Phalanges and Proximal Sesamoids
Osselets
Ringbone
Sesamoiditis
Villonodular Synovitis
Windgalls
Disorders of the Carpus and Metacarpus
Overview
Bucked Shins
Degenerative Subchondral Lesions of the Carpal Bones
Desmitis or Sprain of the Inferior Check Ligament
Fracture of the Carpal Bones
Intra-articular Osteochondral Chip Fragments of the Carpus
Carpal Slab Fractures
Accessory Carpal Bone Fractures
Fractures of the Small Metacarpal and Metatarsal (Splint) Bones
Fracture of the Third Metacarpal (Cannon) Bone
Hygroma
Osteoarthritis (Degenerative Joint Disease)
Osteochondrosis
Osteochondroma of the Distal Radius (Supracarpal Exostosis)
Rupture of the Common Digital Extensor Tendon
Splints
Subchondral Cysts and Septic Arthritis
Suspensory Desmitis
Synovial Hernia and Ganglion and Synovial Fistulae
Tearing of the Medial Palmar Intercarpal Ligament
Tenosynovitis of the Tendon Sheaths Associated with the Carpus
Traumatic Synovitis and Capsulitis
Disorders of the Shoulder and Elbow
Bicipital Bursitis
Fractures of the Elbow
Fractures of the Shoulder
Sweeney
Disorders of the Tarsus
Overview
Bog Spavin
Bone Spavin
Curb
Displacement of Superficial Flexor Tendon from the Point of the Hock
Fracture of the TArsus
Hindlimb Tendon Ruptures
Rupture of the Peroneus Tertius Muscle
Stringhalt
Thoroughpin
Disorders of the Stifle
Fracture of the Stifle
Gonitis
Patellar Luxation
Subchondral Bone Cyst
Disorders of the Hip
Coxitis
Dislocation of the Hip
Pelvic Fracture
Trochanteric Bursitis
Disorders of the Back
Fractures
Muscle and Ligament Strain
Ossifying Spondylosis
Overriding of the Dorsal Spinous Processes
Sacroiliac Injury
Developmental Orthopedic Disease
Overview
Osteochondrosis
Physitis
Flexion Deformities