Musculoskeletal Imaging

Milwaukee shoulder syndrome

an arthropathy in which the intra-articular deposition of calcium hydroxyapatite crystals results in release of enzymes (collagenase and neutral protease) that adversely affect periarticular glenohumeral joint tissues, including the rotator cuff. Subsequently disruption of the rotator cuff ensues (Fig.1).

DR/RB

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Fig.1

AP radiograph of the shoulder demonstrates erosions of the humeral head and undersurface of the clavicle and acromion owing to a chronic rotator cuff tear. (Courtesy of Vinton Vint, MD, San Diego, CA)
Milwaukee shoulder syndrome, Fig.1