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.