Chondral Disease of the Superior Lateral Humeral Head: Causes, Symptoms, Treatment
Chondral disease affects the articular cartilage on the upper outer aspect of the humeral head (shoulder ball).
Causes
- Trauma (fall, direct blow)
- Repetitive overhead motion (throwing, racket sports)
- Aging (natural wear)
- Osteoarthritis, rheumatoid arthritis
Symptoms
- Pain (worse with overhead activity)
- Catching/locking
- Stiffness, swelling
- Weakness
Treatment
- Rest, ice, compression, elevation (RICE)
- Physical therapy (strengthening, flexibility)
- Surgery (debridement, microfracture, graft) for severe cases
Most patients achieve good function with appropriate management.
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