2012
DOI: 10.1002/ca.22110
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Charcot arthropathy of the shoulder associated with typical and atypical findings

Abstract: We present a patient with a relatively rare condition: Charcot joint of the shoulder, with a rare complication, the first known example of combined neurovascular compression in this location. A 49-year-old man presented with neuropathic arthropathy of the shoulder caused by syringomyelia from a Chiari I malformation, leading to compression of both the brachial plexus and the axillary vein by mass effect from the synovitis. The brachial plexopathy resolved with surgical decompression and synovectomy, and the sy… Show more

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Cited by 19 publications
(9 citation statements)
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“…Atypical presentations have been reported in the literature and include (1) Charcot arthropathy of the shoulder secondary to syringomyelia [ 7 ], (2) acute anterior spinal artery thrombosis with subsequent respiratory arrest and anoxic spinal and brain injury [ 8 ], and (3) a post-trauma cervical subdural hematoma complicated by the presence of a CIM [ 9 ]. The latter two cases are similar to the case reported herein as they demonstrate direct neural/vascular compression with subsequent injury.…”
Section: Discussionmentioning
confidence: 99%
“…Atypical presentations have been reported in the literature and include (1) Charcot arthropathy of the shoulder secondary to syringomyelia [ 7 ], (2) acute anterior spinal artery thrombosis with subsequent respiratory arrest and anoxic spinal and brain injury [ 8 ], and (3) a post-trauma cervical subdural hematoma complicated by the presence of a CIM [ 9 ]. The latter two cases are similar to the case reported herein as they demonstrate direct neural/vascular compression with subsequent injury.…”
Section: Discussionmentioning
confidence: 99%
“…While DM patients usually suffer from ankle and knee joint fractures, subluxation and/or dislocation, shoulder and wrist involvement accompany sringomyelia and knee involvement is common in syphilis (1,4). Neuropathic arthropathy of shoulder is rare (5 % of all cases) and generally secondary to syringomyelia (1,5). Clinically shoulder involvement is asymmetrical and characterized with moderate pain and rapid destruction of the joint (6).…”
Section: Discussionmentioning
confidence: 99%
“…17,35 It typically involves the lower cervical or upper thoracic spinal cord; seen in approximately 50%-75% of individuals with CM-1 and 25%-45% of patients with CM-2, and may also be seen in CM-3. [36][37][38] The extent of the abnormality may vary from a small segment of spinal cord to an elongated (holocord) syringohydromyelia. Rarely, syringohydromyelia may contain internal septations and affect the entire length of the spinal cord.…”
Section: Associated Abnormalitiesmentioning
confidence: 99%