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Persistent hemarthrosis of the shoulder joint with a rotator-cuff tear in the elderly

โœ Scribed by K. Ishikawa; T. Ohira; K. Morisawa

Publisher
Springer
Year
1988
Tongue
English
Weight
982 KB
Volume
107
Category
Article
ISSN
1434-3916

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โœฆ Synopsis

Three elderly patients developed persistent hemarthrosis of the shoulder joint without having suffered injury. Complete tears of the rotator cuff, attrition of the undersurface of the acromion, and instability were noted in the affected shoulders. Synovial fluids examined from two patients contained many alizarin red S-positive microspheroids. The synovium obtained at surgery from two patients showed hypervascularity, vasodilatation, and severe degenerative changes of collagenous tissues. The tendon of the m. supraspinatus showed infiltrations of multinucleated giant cells around calcified deposits consisting of hydroxyapatite crystals. Anatomical and mechanical derangements, and possible biological reactions following phagocytosis of hydroxyapatite crystals, may have contributed to the persistent hemorrhage in the shoulder joints.

๐Ÿ“œ SIMILAR VOLUMES

Rotator cuff tears in anterior dislocati
Rotator cuff tears in anterior dislocation of the shoulder
โœ E. Itoi; S. Tabata ๐Ÿ“‚ Article ๐Ÿ“… 1992 ๐Ÿ› Springer ๐ŸŒ English โš– 370 KB

We diagnosed 16 rotator cuff tears in 109 shoulders in 104 patients with a traumatic anterior dislocation. Twelve of these were followed up for an average of 32 months. A surgical repair of the cuff was carried out in eleven and the results were satisfactory in eight (73%) regardless of a Bankart le