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Revista Mexicana de Medicina Física y Rehabilitación

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2012, Number 1

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Rev Mex Med Fis Rehab 2012; 24 (1)

Milwaukee shoulder/knees syndrome

Domínguez-Gasca LG, Domínguez-Carrillo LG
Full text How to cite this article

Language: Spanish
References: 19
Page: 20-23
PDF size: 53.61 Kb.


Key words:

Milwaukee shoulder, crystals deposition disease.

ABSTRACT

In 1857, Dr. Robert Adams, Professor of Surgery from Dublin University, was the first to describe in his textbook, the pathological features of an entity that he called «Chronic rheumatic arthritis of the shoulder». Is until 1981, when McCarty and Halverson reported four old females patients with degenerative and destructive arthropaty of dominant shoulder, associated with calcium pyrophosphate crystal deposition, producing greater amount of synovial fluid and complete rotator cuff tear; they called it «Milwaukee shoulder». The principal symptoms are: shoulder pain, articular edema and disability for rapid articular destruction caused by cytokines and metalloproteinases, it is associated in 50% of cases with chondrocalcinosis and osteoarthritis of lateral compartments of the knees. We present the case of a 90 years old woman with clinical and radiographic characteristics of Milwaukee syndrome.


REFERENCES

  1. Adams R. Treatise on rheumatic gout. 2nd ed. London, England: John Churchill & Sons; 1873: 91.

  2. McCarty DJ, Halverson PB, Carrera GF, Brewer BJ, Kozin F. “Milwaukee shoulder”– association of microspheroids containing hydroxyapatite crystals, active collagenase and neutral protease with rotator cuff defects. I. Clinical aspects. Arthritis Rheum 1981; 24: 464-473.

  3. Milwaukee shoulder syndrome. Fifteen additional cases and a description of contributing factors. Arch Intern Med 1990; 150: 677-682.

  4. Halverson PB, Garancis JC, McCarty DJ. Histopathological and ultrastructural studies of synovium in Milwaukee shoulder syndrome– a basic calcium phosphate crystal arthropathy. Ann Rheum Dis 1984; 43: 734-741.

  5. Maarten JR, van Laar JM, Schepper AM, Huizinga TW. The Milwaukee shoulder/knee syndrome. JCR 2008; 14: 249-250.

  6. García GM, McCord GC, Kumar R. Hydroxyapatite crystal deposition disease. Semin Musculoskelet Radiol 2003; 7: 187-193.

  7. Ea HK, Lioté F. Calcium pyrophosphate dihydrate and basic calcium phosphate crystal-induced arthropathies: update on pathogenesis, clinical features and therapy. Curr Rheumatol Rep 2004; 6: 221-227.

  8. Guerne PA. Chondrocalcinosis and calcium pyrophosphate crystal deposition disease in 2010. Rev Med Suisse 2010; 6: 555-560.

  9. Rood MJ, van Laar JM, de Schepper AM, Huizinga TW. The Milwaukee shoulder/knee syndrome. J Clin Rheumatol 2008; 14: 249-250.

  10. Halverson PB. Crystal deposition disease of the shoulder: including calcific tendonitis and Milwaukee shoulder syndrome. Curr Rheumatol Rev 2003; 5: 244-247.

  11. Richette P, Bardin T. Chondrocalcinosis. Rev Prat 2010; 60: 14-19.

  12. Neogi T. Lack of association between chondrocalcinosis and increased risk of cartilage loss in knees with osteoarthritis: results of two prospective longitudinal magnetic resonance imaging studies. Arthritis Rheum 2006; 54: 1822-1828.

  13. Epis O, Viola E, Bruschi E, Benazzo F, Montecucco C. Milwaukee shoulder syndrome (apatite associated destructive arthritis): therapeutic aspects. Reumatismo 2005; 57: 69-77.

  14. Atzeni F, Sarzi-Puttini P, Bevilacqua M. Calcium deposition and associated chronic diseases (atherosclerosis, diffuse idiopathic skeletal hyperostosis, and others). Rheum Dis Clin North Am 2006; 32: 413-426.

  15. Borg EJ, Eggelmijer F, Jaspers PJ, Slee PH. Milwaukee shoulder associated with primary hyperparathyroidism. J Rheumatol 1995; 22: 561-562.

  16. Pons-Estel BA et al. Familial osteoarthritis and Milwaukee shoulder associated with calcium pyrophosphate and apatite crystal deposition. J Rheumatol 2000; 27: 471-480.

  17. Rachow JW, Ryan LM, McCarty DJ, Halverson PC. Four cases of “Milwaukee shoulder” with a description of clinical presentation and long-term treatment. J Am Geriatr Soc 1985; 33: 202-205.

  18. Nguyen VD. Rapid destructive arthritis of the shoulder. Skeletal Radiol 1996; 25: 107-112.

  19. Llauger J, Palmer J, Rosón N, Bagué S, Camins A, Cremades R. Nonseptic monoarthritis: imaging features with clinical and histopathologic correlation. Radiographics 2000; 20: 263-278.




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Rev Mex Med Fis Rehab. 2012;24