Milwaukee shoulder syndrome. Fifteen additional cases and a description of contributing factors. Arch Intern Med 1990 Mar;150(3):677-82
Date
03/01/1990Pubmed ID
2155593DOI
10.1001/archinte.150.3.677Scopus ID
2-s2.0-0025366190 (requires institutional sign-in at Scopus site) 57 CitationsAbstract
Fifteen additional patients with Milwaukee shoulder syndrome are described, bringing our total series to 30 cases. The condition occurred predominantly in elderly women and was characterized by severe glenohumeral joint degeneration and dissolution of the fibrous rotator cuff. Synovial fluids contained few leukocytes, but were often blood tinged. Basic calcium phosphate crystal aggregates and particulate collagens were noted in nearly all fluids, and collagenase activity was detectable in some, but not all, fluids. The knee joints were involved with a similar process in about half of our patients. In contrast to primary osteoarthritis, lateral tibiofemoral compartment involvement was common. Factors that may predispose to this syndrome included deposition of calcium pyrophosphate dihydrate crystals, direct trauma or chronic joint overuse, chronic renal failure, and denervation.
Author List
Halverson PB, Carrera GF, McCarty DJMESH terms used to index this publication - Major topics in bold
AgedAged, 80 and over
Calcium Phosphates
Calcium Pyrophosphate
Collagen
Female
Humans
Joint Diseases
Knee Joint
Male
Microbial Collagenase
Osteoarthritis
Shoulder Joint
Syndrome
Synovial Fluid
Tendons
Wisconsin
