Rapid destructive arthritis of the shoulder, although uncommon, has re
ceived much attention in the recent medical literature. It has been de
scribed by several authors under varied names: hemorrhagic shoulder of
the elderly, Milwaukee shoulder syndrome, rapid destructive arthritis
of the shoulder, apatite-associated destructive arthritis and idiopat
hic destructive arthritis of the shoulder. This particular form of art
hritis affects mainly elderly patients, predominantly women, with limi
ted pain, rotator cuff tear, joint instability, voluminous mildly infl
ammatory, blood-stained effusion, basic calcium phosphate crystals, an
d marked joint and bone destruction.