Calcific tendinitis · Proximal humerus fracture · Shoulder dislocation · Shoulder osteoarthritis
Shoulder pain looks alike on the outside but the underlying causes are very different. Four of the most important are calcific tendinitis, proximal humerus fracture, shoulder dislocation, and shoulder osteoarthritis.
Each one has a distinct treatment path, and an incorrect first call can leave lasting limitations.
We use bedside ultrasound to identify the cause quickly and treat on the spot when appropriate.
Calcium hydroxyapatite deposits form in the rotator cuff and trigger sudden, intense inflammation
A fall onto an outstretched hand breaks the upper part of the humerus — common in older adults
Forceful contact in sports or trauma pops the joint out of place; recurrence is high in young people
Cartilage wears down with age, producing progressive pain and loss of motion
Calcific tendinitis can resolve on its own within 1–2 weeks. About 80% of proximal humerus fractures can be managed without surgery. Dislocations left untreated for over 3 weeks often need surgery, and first-time dislocations in young patients should be evaluated with MRI to plan recurrence prevention.
Anatomic vs. Reverse Total Shoulder Replacement.
If the rotator cuff is healthy, an anatomic prosthesis is used. If the cuff is severely torn, a reverse design uses the deltoid muscle instead — in Japan, generally for patients aged 70 and older. The right implant depends on age and rotator cuff status.