The Milwaukee shoulder frequently affects older women, often with a history of trauma to the region.
Symptoms are usually comparatively mild, despite rapid and marked progression of radiographic features.
The plain film findings are striking and almost resembles a neuropathic joint, with advanced articular surface destruction with intraarticular loose bodies, subchondral sclerosis, soft tissue swelling and rotator cuff disruption.
MRI findings mirror those of the plain films and include: Large should joint effusion
- complete rotator cuff tear
- narrowing of the glenohumeral joint
- thinning of cartilage
- destruction of subchondral bone
General imaging differential considerations include
- 1. Dondelinger RF, Marcelis S, Daenen B et-al. Peripheral Musculoskeletal Ultrasound Atlas. Thieme. (1996) ISBN:0865775923. Read it at Google Books - Find it at Amazon
- 2. Llauger J, Palmer J, Rosón N et-al. Nonseptic monoarthritis: imaging features with clinical and histopathologic correlation. Radiographics. 2000;20 Spec No : S263-78. Radiographics (full text) - Pubmed citation