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Four Cases of “Milwaukee Shoulder,” with a Description of Clinical Presentation and Long‐term Treatment
Author(s) -
Weiss Joseph J.,
Good Armin,
Schumacher H. Ralph
Publication year - 1985
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1985.tb04893.x
Subject(s) - medicine , presentation (obstetrics) , administration (probate law) , veterans affairs , gerontology , library science , family medicine , law , surgery , political science , computer science
“Milwaukee shoulder” was first described by McCarty et a1.1~2 in 1981. Features of this condition include: 1) an occurrence predominately in older women; 2) shoulder pain and marked limitation of motion; 3) recurrent and large shoulder effusions, with a bland synovial fluid characterized by a low leukocyte count, composed chiefly of mononuclear cells; 4) concomitant glenohuineral osteoarthritis and/or rotator cuff tear; and 5) the presence of liydroxyapatite on crystal analysis of the aspirated synovial fluid. This paper presents four patients with “Milwaukee shoulder” in order to: illustrate the clinical presentation, discuss the treatment, and point out unresolved questions concerning the etiology of this disorder.