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Last updated: October 23, 2025View editorial policy

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Differential Diagnosis for Shoulder Clicks and Pops

Single Most Likely Diagnosis

  • Subluxation or Instability of the Shoulder: This condition is characterized by the shoulder joint slipping out of place, which can cause clicking or popping sounds. It's a common issue, especially in individuals who engage in sports or activities that involve repetitive shoulder movements.

Other Likely Diagnoses

  • Adhesive Capsulitis (Frozen Shoulder): Although more commonly associated with stiffness and pain, some patients with frozen shoulder may experience clicking or snapping sensations as the joint moves.
  • Rotator Cuff Tendinopathy: Inflammation or irritation of the tendons surrounding the shoulder joint can lead to clicking or popping sounds, especially when moving the arm.
  • Labral Tears: Tears in the labrum, the cartilage that surrounds the socket of the shoulder joint, can cause clicking or catching sensations.
  • Bursitis: Inflammation of the bursae, fluid-filled sacs that cushion the joints, can lead to clicking or snapping sounds due to increased fluid and pressure.

Do Not Miss Diagnoses

  • Osteonecrosis of the Humeral Head: A condition where the bone tissue of the humeral head dies due to lack of blood supply. Although less common, it's critical to diagnose early to prevent further damage.
  • Septic Arthritis: An infection within the joint, which is a medical emergency requiring prompt treatment to avoid permanent damage.
  • Tumor: Although rare, tumors affecting the shoulder region can cause a variety of symptoms, including unusual sounds.

Rare Diagnoses

  • Snapping Scapula Syndrome: A condition where the scapula (shoulder blade) rubs against the rib cage, causing a snapping or grinding sensation.
  • Long Head of Biceps Tendinopathy: Inflammation of the long head of the biceps tendon can cause shoulder pain and, occasionally, clicking sounds.
  • Glenohumeral Chondromatosis: A rare condition where cartilage grows in the joint, leading to loose bodies that can cause locking, catching, or clicking sensations.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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