Differential Diagnosis for Clicking and Catching Sensation with Right Shoulder
Single Most Likely Diagnosis
- Subacromial Impingement Syndrome: This condition is the most likely diagnosis due to the common presentation of clicking and catching sensations in the shoulder, which can be caused by the rotator cuff tendons rubbing against the acromion.
Other Likely Diagnoses
- Rotator Cuff Tendinopathy: Inflammation or degeneration of the rotator cuff tendons can cause clicking and catching sensations, especially with movement of the shoulder.
- Labral Tear: A tear in the labrum, the cartilage surrounding the socket of the shoulder joint, can cause a clicking or catching sensation, particularly with certain movements.
- Adhesive Capsulitis (Frozen Shoulder): Although more commonly associated with stiffness and limited range of motion, some patients with frozen shoulder may experience clicking or catching sensations as the condition progresses.
Do Not Miss Diagnoses
- Septic Arthritis: Although less common, septic arthritis of the shoulder can present with sudden onset of pain and limited mobility, and it is crucial to diagnose and treat promptly to avoid serious complications.
- Fracture: A fracture of the shoulder region, such as a fracture of the clavicle, scapula, or humerus, can cause sudden pain and potentially a clicking or catching sensation if the fracture fragments are moving.
- Tumor: A bone or soft tissue tumor in the shoulder region can cause pain and mechanical symptoms, including clicking or catching, and is critical to diagnose early for appropriate management.
Rare Diagnoses
- Osteochondritis Dissecans: A rare condition where a piece of cartilage and bone in the joint becomes damaged, potentially causing a clicking or catching sensation.
- Synovial Chondromatosis: A rare condition characterized by the growth of cartilage in the synovium of the joint, which can cause mechanical symptoms including clicking or catching.
- Glenohumeral Instability: While more commonly associated with feelings of instability or dislocation, certain types of glenohumeral instability can cause clicking or catching sensations, especially in younger, athletic individuals.