Milwaukee shoulder

Case contributed by Suraindra Mark Rajadurai
Diagnosis certain


Chronic shoulder pain.

Patient Data

Age: 75 years
Gender: Female

Extensive bony destruction and remodeling, intra-articular loose bodies, large effusion and soft tissue swelling. 

Ultrasound guided aspiration


Ultrasound demonstrated a complete supraspinatus tear as well as a large amount of joint fluid. This was aspirated and sent for cytology.

Intra-articular betamethasone and bupivacaine were then injected under aseptic technique. 

Case Discussion

This is a classic appearance of Milwaukee shoulder. The patient had a longstanding history of chronic pain and deformity. She presented for symptomatic treatment with ultrasound guided aspiration and intra-articular steroid injection.

On ultrasound there was a complete supraspinatus tear and a large effusion, aspiration yielded pale blood stained fluid which demonstrated hydroxyapatite crystals on cytology.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.