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Milwaukee shoulder associated with primary hyperparathyroidism

E J ter Borg¹, F Eggelmijer, P J Jaspers

¹Department of Internal Medicine and Rheumatology, Sint Antonius Hospital Nieuwegein, The Netherlands.

The Journal of Rheumatology

|March 1, 1995

Summary

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Primary hyperparathyroidism may cause Milwaukee shoulder syndrome. Surgical removal of a parathyroid adenoma resolved shoulder effusion in one patient, suggesting a causal link.

Area of Science:

Orthopedics
Endocrinology
Rheumatology

Background:

Milwaukee shoulder syndrome is a rare destructive arthropathy.
Primary hyperparathyroidism is a condition of excess parathyroid hormone.
The relationship between these two conditions is not well-established.

Observation:

A 69-year-old woman presented with symptoms of Milwaukee shoulder syndrome.
The patient also had undiagnosed primary hyperparathyroidism.

Findings:

Surgical removal of a parathyroid adenoma was performed.
Following adenoma removal, shoulder effusion resolved.
Recurrence of shoulder effusion was not observed.

Implications:

Related Experiment Videos

This case suggests a potential causal relationship between primary hyperparathyroidism and Milwaukee shoulder syndrome.
Further research is warranted to explore this association.
Endocrine evaluation may be beneficial for patients with unexplained shoulder arthropathies.