Injury to the shoulder tendons, either sudden or chronic, in the area under the acromioclavicular ligament, which presents with pain and dysfunction of the shoulder is expressed as Hypochromic Friction Syndrome and is the most common cause of pain. The majority of patients come from the ages of 25-40.
“First of all, anatomical differences in the shoulder bones predispose to the permanent injury of the shoulder tendons. Exercise or work with intense or repetitive shoulder movement in axes> 90o, e.g. monogyno, weightlifting, professional electricians often report symptoms of shoulder pain. “Naturally, injuries that alter the anatomy of the area can very often cause orthopedics.”
How shoulder pain manifests itself
Shoulder pain, often reflected on the outside of the arm, is the most common expression of the syndrome. Accompanied, it is reported that the patient has difficulty sleeping on the affected side, as well as dysfunction with the main difficulty or the complete inability to abduct and lift the arm.
Based on the diagnosis of the syndrome
The clinical trials that the patient undergoes can determine with high accuracy the cause of the shoulder pain. Accompanied, a complete radiological examination (x-ray, magnetic resonance imaging or ultrasound) comes to confirm the findings of the orthopedic surgeon and to contribute to the treatment.
What does conservative treatment involve?
First of all, it is recommended to change activities in combination with intensive kinesiotherapy and strengthening of the shoulder muscles. Concomitant medication (mild painkillers, anti-inflammatory) will act on the immediate remission of symptoms.
Do biological therapies have a place in the treatment of the syndrome?
The use of biological agents such as PRP (Platelet Rich Plasma) in modern times has been shown to be effective in a significant number of patients.
When should the patient be operated on?
The chronicity of the symptoms, the recurrent episodes of orthopedics, the failure of conservative treatment but also the aggravating anatomical differences of the shoulder bones are the main characteristics of the patients, who have to undergo surgery to treat their problem.
What is the recommended surgery?
Shoulder arthroscopy, a minimally invasive technique with high accuracy and efficiency, is the surgery of choice for patients with Hypochromic Friction Syndrome.
When does the patient return to his activity?
The patient’s normal return to daily life, depending on the previous level of shoulder injury, is determined on average in one month postoperatively.
Writes:
Mr. Konstantinos Tolis, MD, MSC, Orthopedic Surgeon, Scientific Associate of Upper Extremity Clinic – Microsurgery, Metropolitan General
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