Milwaukee shoulder

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[edit] Discussion of Milwaukee shoulder

  • Milwaukee shoulder consists of the association of
    • Complete rotator cuff tear
    • Osteoarthrosis
    • Noninflammatory joint effusion containing calcium hydroxyapatite and calcium pyrophosphate dihydrate crystals
    • Hyperplasia of the synovium, destruction of cartilage and subchondral bone
    • Multiple osteochondral loose bodies.
  • Milwaukee shoulder frequently affects older women and manifests clinically as a rapidly progressive and destructive arthritis of the shoulder.
  • A history of trauma is frequently reported.
  • Changes of calcium pyrophosphate dihydrate deposition disease involving the knees are commonly noted.

[edit] Imaging Findings for Milwaukee shoulder

[edit] Plain film

  • Joint space narrowing
  • Subchondral sclerosis with cyst formation
  • Destruction of subchondral bone
  • Soft-tissue swelling
  • Capsular calcifications
  • Intraarticular loose bodies.

[edit] MRI

  • Large should joint effusion
  • Complete rotator cuff tear
  • Narrowing of the glenohumeral joint
  • Thinning of cartilage
  • Destruction of subchondral bone

[edit] Images

Patient #1

[edit] See Also

[edit] External Links

[edit] References for Milwaukee shoulder