2023-08-03 19:00:54
To carry out the operation, the collaboration of ISSSTE doctors from units located in Quintana Roo, Yucatán and CDMX was necessary.
Milwaukee shoulder is a very rare destructive arthropathy worldwide.
According to the medical literature, it is associated with the deposit of basic calcium phosphate crystals, predisposed to trauma, neurological abnormalities, and renal failure in hemodialysis.
Public health is often the subject of multiple criticisms, although it must also be recognized when the personnel in this sector do their job well. In this case, a team of doctors from the Institute of Security and Social Services for State Workers (ISSSTE) became known for successfully performing a very unusual procedure. In the end, thanks to preparation and mutual collaboration, a successful result was achieved.
In this sense, any intervention implies a risk because none is simple. In fact, it is one of the reasons why additional preparation is required for the Bachelor of Medicine. With this in mind, only those with the Surgery specialty can carry out operations.
Description of the clinical case
Based on the above, a coordinated effort between ISSSTE doctors from medical units in Quintana Roo, Yucatán and Mexico City allowed a 58-year-old patient to achieve prosthesis implantation surgery.
The head of the institute, Pedro Zenteno, recognized the work of communication and prompt response of doctors who participated in this case. The delivery of it allowed to carry out an accurate and timely diagnosis to intervene on the patient, who is recovering satisfactorily at home.
Milwaukee shoulder, a very rare destructive arthropathy
The ISSSTE medical subdelegate in Quintana Roo, Martín Perales Martínez, explained that the beneficiary suffered from Milwaukee shoulder. It is a very rare destructive arthropathy. When it occurs, it usually affects older adults because it is associated with deposition of basic calcium phosphate crystals, predisposed to trauma, neurologic abnormalities, and renal failure on hemodialysis.
The director of the General Hospital (HG) Tláhuac “Dra. Matilde Petra Montoya Lafragua”, Armando Lemus García, explained that this time it was an atypical case. The patient is much younger than the average person suffering from this disease. Therefore, the diagnostic process was long, complex and painful.
After a year and a half of consultations, analysis and treatment that began at the Clínica Hospital (CH) in Cancún, he was referred to the Regional Hospital (HR) “Elvia Carrillo Puerto” in Mérida and, later, he was admitted to HG Tláhuac in the city. from Mexico.
The ISSSTE doctors who participated in this extraordinary case were: Ángel Adrián César Juárez and Óscar Alberto Pérez Peralta. Both detailed that the Milwaukee shoulder It is a very peculiar destructive arthritis that is difficult to diagnose, largely due to its low incidence. They highlighted that thanks to the teamwork of the personnel of the medical units of Cancún, Mérida and Tláhuac, it was possible to act in a timely and satisfactory manner.
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