scholarly journals Milwaukee Shoulder Syndrome

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Channa Vasanth Nadarajah ◽  
Immo Weichert
Keyword(s):  
Calcium Phosphate ◽  
Rotator Cuff ◽  
Synovial Fluid ◽  
Shoulder Pain ◽  
Calcium Hydroxyapatite ◽  
Shoulder Syndrome ◽  
Radiographic Changes ◽  
Hydroxyapatite Crystals

Milwaukee shoulder syndrome (MSS) is a rare destructive, calcium phosphate crystalline arthropathy. It encompasses an effusion that is noninflammatory with numerous aggregates of calcium hydroxyapatite crystals in the synovial fluid, associated with rotator cuff defects. We describe a patient that presented with recurrent shoulder pain and swelling with characteristic radiographic changes and MSS was confirmed on aspiration of the synovial fluid.

scholarly journals Ultrasonographic Evaluation of the Shoulders and Its Associations with Shoulder Pain, Age, and Swim Training in Masters Swimmers

Medicina ◽  
2020 ◽  
Vol 57 (1) ◽  
pp. 29
Author(s):  
Yuta Suzuki ◽  
Noriaki Maeda ◽  
Junpei Sasadai ◽  
Kazuki Kaneda ◽  
Taizan Shirakawa ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Structural Changes ◽  
Partial Tear ◽  
Increased Risk ◽  
High Prevalence ◽  
History Of ◽  
Long Head ◽  
Competitive Swimmers ◽  
Rotator Cuff Tendinopathy

Background and objectives: The long head of the biceps (LHB) and rotator cuff tendinopathy is the major cause of shoulder pain in competitive swimmers. The risk of tendinopathy increases with aging; however, the structural changes of LHB and rotator cuff in populations of masters swimmers have not been well examined. The purpose of this study was to investigate the prevalence of ultrasonographic abnormalities of the shoulders in masters swimmers, and the association of pain, age, and swim training with structural changes in this population. Materials and Methods: A total of 60 subjects participated in this study, with 20 masters swimmers with shoulder pain, 20 asymptomatic masters swimmers, and 20 sex- and age-matched controls. All swimmers completed a self-reported questionnaire for shoulder pain, their history of competition, and training volume. Each subject underwent ultrasonographic examination of both shoulders for pathologic findings in the LHB tendon, rotator cuff (supraspinatus (SSP) and subscapularis (SSC)) tendons, and subacromial bursa (SAB) of both shoulders and had thickness measured. Results: The prevalence of tendinosis (LHB, 48.8%; SSP, 17.5%; SSC, 15.9%), partial tear (SSP, 35.0%), and calcification (SSC, 10.0%) were higher in swimmers than in controls. LHB and SSP tendinosis were associated with shoulder pain. Older age and later start of competition were associated with an increased risk of LHB tendinosis and SSC calcification. Earlier initiation of swimming and longer history of competition were associated with an increased risk of SSP and SSC tendinosis. The thicker SSP tendon significantly increased the risk of tendinosis and partial tear. Conclusions: A high prevalence of structural changes in the rotator cuff and biceps tendons in masters swimmers reflects the effect of shoulder symptoms, aging, and swim training.

CASE STUDY: MANAGEMENT OF PATIENT WITH SHOULDER PAIN BY GENERAL PRACTITIONER

2021 ◽  
Author(s):  
V. M. Nazarian ◽  
V. I. Velichko ◽  
V. I. Synenko ◽  
S. F. Kovalenko
Keyword(s):  
General Practitioner ◽  
Rotator Cuff ◽  
Shoulder Pain ◽  
Pathological Process ◽  
Autologous Plasma ◽  
Appropriate Treatment ◽  
Inflammatory Drugs ◽  
Pharmacological Method ◽  
Reduced Mobility

Shoulder pain is one of the most common presentations of musculoskeletal pain with population prevalence of between 7 and 26 %. The most common pathology that affects the shoulder joint is rotator cuff syndrome. The most important aspects in the management of patient with shoulder pain by general practitioner are to ensure an accurate diagnosis and to start the appropriate treatment on time. The main direction of rotator cuff syndrome treatment includes a period of rest from the exacerbating activity and taking nonsteroidal anti-inflammatory drugs. In some cases the use of the NSAIDs is not possible, so we decided to suggest an alternative non-pharmacological method of treatment. We treated a patient with rotator cuff syndrome by injections of autologous plasma into the affected muscles and projections of entheses that were involved in the pathological process. We obtained positive results. The shoulder pain had been reduced, mobility and movement had been improved after a course of autologous plasma injections. In our opinion, it is expedient to consider such treatment of the rotator cuff syndrome both as an additional method and separately in case of impossibility of prescribing the main therapy.

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