Shoulder dysfunction often stems from issues with the shoulder capsule, such as being overly tight or too loose, or from damage or fatigue in the rotator cuff musculotendinous unit. Less frequently, it can result from damage to the articular cartilage of the glenohumeral or acromioclavicular joint. In cases of AC joint pain, it’s notable for its localised pain. Diagnostics for shoulder issues include testing for external rotation motion to confirm stiffness and the apprehension test for looseness. Assessing the power of external rotation and supraspinatus, along with checking for impingement signs, are critical for evaluating rotator cuff function.


For diagnostic imaging, X-rays are highly valuable in identifying conditions such as calcific tendonitis, glenohumeral joint arthritis, and cuff-tear arthropathy, while ultrasound is a key tool in confirming rotator cuff tears. Treatment approaches can vary; a single corticosteroid injection is often a first-line treatment for AC joint pain and impingement. For more persistent conditions like impingement, instability, stiffness, and numerous rotator cuff tears, minimally invasive arthroscopic surgery can be highly effective. In cases of severe gleno-humeral joint arthritis, shoulder replacement surgery is considered an effective treatment option.


For further information or questions, please contact us directly at our Sydney clinic – George Murrell Shoulders.



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