Milwaukee Shoulder Syndrome

Nadarajah, Channa Vasanth; Weichert, Immo

doi:10.1155/2014/458708

Cited by 5 publications

(8 citation statements)

References 11 publications

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“…7) Its pathology is believed to be the intraarticular calcium hydroxyapatite deposition, which induces the release of lysosomal enzymes, which attack the peri-articular tissues, including the rotator cuff. 8) Unlike monosodium urate and calcium pyrophosphate dehydrate crystals, calcium hydroxyapatite crystals cannot be observed under a plain and polarized microscope. Use of alizarin red stain enables simple and rapid identification of clumps of calcium hydroxyapatite crystals, 9) but we cannot practice this stain.…”

Section: Discussionmentioning

confidence: 99%

Rapidly Progressive Osteonecrosis of the Humeral Head after Arthroscopic Bankart and Rotator Cuff Repair in a 66-Year Old Woman: A Case Report

Cho¹,

Cho²,

Hwang³

et al. 2015

Clinics in Shoulder and Elbow

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Humeral head chondrolysis has been widely reported as a devastating complication after arthroscopic shoulder surgery; however little is known about post-arthroscopic humeral head osteonecrosis. We experienced a 66-year-old female patient with rapidly progressive osteonecrosis of the humeral head only seven months after arthroscopic Bankart and rotator cuff repair. The patient had no systemic risk factors for osteonecrosis. A satisfactory result was achieved with reverse total shoulder arthroplasty for severe humeral head destruction and an irreparable massive rotator cuff tear. Shoulder surgeons should be aware of such severe complication, perform routine radiographs, and pay close attention to the presence of constant pain or loss of motion after arthroscopic shoulder surgery. Arthroscopic shoulder surgery has become a popular procedure in the last two decades. It is generally regarded as a safe procedure, with few risks. Recently, however, some disastrous complications, including glenohumeral chondrolysis and osteonecrosis of the humeral head after an arthroscopic procedure, have been reported. 1-4) Glenohumeral chondrolysis after arthroscopic shoulder surgery has been widely reported, and many causes were suggested, including local anesthesia through a pain pump, radiofrequency device, and so on. 1) However little is known about post-arthroscopic humeral head necrosis. To the best of the author's knowledge, there are only three reports in English literature on humeral head osteonecrosis after such surgery. 2-4) Despite its rarity, humeral head osteonecrosis after arthroscopic shoulder surgery requires early diagnosis and proper treatment to prevent development into a serious glenohumeral arthrosis. We report on a case of osteonecrosis of the humeral head after arthroscopic Bankart and rotator cuff repair which showed rapid progression with a review of the literature. Case ReportA 66-year-old right-handed female patient was referred to our clinic with complaints of pain and limited motion in her right shoulder after arthroscopic surgery at an outside facility. Meticulous history taking revealed that the patient had fallen from a height of about one meter about seven months earlier, and she was diagnosed with an anterior shoulder dislocation with bony Bankart lesion (Fig. 1A, B), and rotator cuff tear, however the marrow signal of her proximal humerus was nonspecific on preoperative magnetic resonance imaging (MRI) (Fig. 1C, D). Subsequently she underwent arthroscopic Bankart and double row rotator cuff repair with bioabsorbable suture anchors (3 anchors for bony Bankart lesion, 4 anchors for rotator cuff tear). Postoperative MRI taken one week later showed that both lesions were well repaired (Fig. 2). According to the medical records from the previous hospital, she had started performing range-ofmotion exercises from 6 weeks postoperatively and presented 90 degrees of active forward flexion and 40 degrees of active

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Section: Discussionmentioning

confidence: 99%

Rapidly Progressive Osteonecrosis of the Humeral Head after Arthroscopic Bankart and Rotator Cuff Repair in a 66-Year Old Woman: A Case Report

Cho¹,

Cho²,

Hwang³

et al. 2015

Clinics in Shoulder and Elbow

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“…A peculiar and very severe condition associated with BCP crystal deposition is the Milwaukee shoulder syndrome (MSS), which can occur in patients between 60 and 90 years of age, due to intra-articular deposition of BCP crystals that release lysosomal enzymes leading to the destruction of articular and peri-articular structures, including the rotator cuff [79]. Apart from shoulders, other joints, including the knees, hips, and/or elbows, might be involved [80].…”

Section: Basic Calcium Phosphate Crystal Deposition Diseasementioning

confidence: 99%

“…However, individual BCP crystals are non-birefringent and are too small to be detected by conventional or polarized light microscopy [81]. Furthermore, despite their tendency to clump, especially when present in large amounts, BCP crystals remain undetectable in the SF [66], which is usually noninflammatory with a low leukocyte count [79]. US, CR, CT, MRI, and DECT can all be helpful for the diagnosis [82].…”

Section: Basic Calcium Phosphate Crystal Deposition Diseasementioning

confidence: 99%

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2020

OBM Geriatrics

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Generalisations and misconceptions about ageing and swallowing can influence clinical opinion. Assumptions about swallowing function based on someone's age risk overmedicalising or, conversely, undertreating older patients. Evidence suggests that increased prevalence of swallowing problems in older age is attributed to pathology known to affect swallowing function, or an unrelated serious illness and combination of health factors, and not ageing itself. This review highlights factors clinicians should consider when interpreting studies involving older adults and recommends methodological parameters for those researching swallowing with older participants.

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“…Elle débute brutalement par une douleur locale, une impotence fonctionnelle, un gonflement de l'articulation [3]. La ponction retire un liquide synovial typiquement hémorragique, non inflammatoire avec présence de dépôts de phosphates de calcium.…”

Section: Arthrose Des Mains Et Des Piedsunclassified

Arthrose non rachidienne du sujet âgé : aspects diagnostiques

Cadet¹,

Maheu

Breville

et al. 2015

cah. année gerontol.

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Reçu le 2 janvier 2015 ; accepté le 9 mars 2015 © Lavoisier SAS 2015Résumé Le diagnostic d'arthrose repose essentiellement sur l'examen clinique. Nous présentons les principales étapes d'un examen clinique simple et rapide qui permet de suspecter, chez un sujet âgé par exemple, lors de l'entrée en éta-blissement d'hébergement pour personnes âgées dépendan-tes, l'existence d'une arthrose. Ce diagnostic sera, si besoin, confirmé par une radiographie. Les autres examens d'imagerie sont rarement nécessaires dans ce contexte.Deux pathologies, spécifiques du sujet âgé, sont ensuite abordées : l'épaule sénile hémorragique et la coxarthrose destructrice rapideMots clés Arthrose · Sujet âgé · Coxarthrose destructrice rapide · Épaule sénile hémorragique Abstract The diagnosis of osteoarthritis is mainly based on physical examination. We present the main steps of a quick and simple clinical exam able to suspect the existence of osteoarthritis, for example in dependent elderly people entering a care home. This diagnosis will be confirmed, if necessary, by radiographs. Other imaging tests are seldom needed in this context. Two diseases, specific to old people, are then described: hemorrhagic senile shoulder and rapidly destructive hip osteoarthritis.

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Milwaukee Shoulder Syndrome

Cited by 5 publications

References 11 publications

Rapidly Progressive Osteonecrosis of the Humeral Head after Arthroscopic Bankart and Rotator Cuff Repair in a 66-Year Old Woman: A Case Report

Rapidly Progressive Osteonecrosis of the Humeral Head after Arthroscopic Bankart and Rotator Cuff Repair in a 66-Year Old Woman: A Case Report

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Arthrose non rachidienne du sujet âgé : aspects diagnostiques

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