Milwaukee shoulder

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.

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