PT - JOURNAL ARTICLE AU - A D Woolf AU - T E Cawston AU - P A Dieppe TI - Idiopathic haemorrhagic rupture of the shoulder in destructive disease of the elderly. AID - 10.1136/ard.45.6.498 DP - 1986 Jun 01 TA - Annals of the Rheumatic Diseases PG - 498--501 VI - 45 IP - 6 4099 - http://ard.bmj.com/content/45/6/498.short 4100 - http://ard.bmj.com/content/45/6/498.full SO - Ann Rheum Dis1986 Jun 01; 45 AB - The cases of two patients with hydroxyapatite crystal associated destructive disease of the shoulder are described who have developed gross haemorrhagic effusions with spontaneous joint rupture and extensive soft tissue damage. No collagenase activity was found in the synovial fluid. Other possible mechanisms of the destructive process are discussed.