Charcot shoulder and elbow: a review of the literature and update on treatment

Snoddy, Mark C.; Lee, Donald H.; Kuhn, John E.

doi:10.1016/j.jse.2016.10.015

Cited by 29 publications

(24 citation statements)

References 46 publications

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“…neuropathic arthropathy, also known as charcot arthropathy, is another rare degenerative disorder characterized by rapid destruction of the joint with extensive involvement of the bone and soft tissue. Cervical syringomyelia accounts for 75% of neuropathic shoulder arthropathy, while other causes of insensitivity, such as diabetes mellitus, chronic alcoholism, or end-stage renal disease, are less common (63). The underlying pathophysiology is not well understood, but neurovascular and neurotraumatic theories have been developed, with the loss of nociception and proprioception playing important roles (see Picture 2D).…”

Section: Endocrine Diseases and Neuropathic Arthropathymentioning

confidence: 99%

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

et al. 2020

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Background and Aims: Osteoarthritis (OA) is the world’s most common joint disease and there is currently no cure. Glenohumeral osteoarthritis (GHOA) accounts for an estimated 5% -17% of patients with shoulder complaints. The etiology of GHOA is multifactorial, and we review the various non-specific and specific risk factors and further sub-classify them into local and systemic factors. Materials and Methods: Data for this review article were identified by searches of MEDLINE, PubMed, and references from relevant articles using search terms such as “glenohumeral,” “osteoarthritis,” “epidemiology,” “etiology,” “imaging,” and “pathophysiology.” Only articles published in English, German, and Finnish between 1957 and 2017 were included. Results: The prevalence of radiological shoulder OA has been estimated to be as high as 16% -20% in the middle-aged and elderly population, but the concordance between structural findings and symptoms seems to be weak, as many of these individuals are asymptomatic. The vast majority of GHOA is related to non-specific factors, namely advancing age, while specific risk factors are commonly found in young patients. Diagnosis of GHOA is made when typical clinical features and defined radiological findings overlap in an individual. Conclusion: Ultimately the determinants of shoulder pain in GHOA remain incompletely understood. Improved understanding of the etiology and diagnosis of GHOA will enable clinicians to better determine which patients will benefit from different treatment modalities, as well as provide new avenues to potential treatments.

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Section: Endocrine Diseases and Neuropathic Arthropathymentioning

confidence: 99%

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

et al. 2020

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“…Статей, описывающих локализацию тофусов в проксимальном отделе плечевой кости, не было обнаружено. Существуют публикации с описанием кистозных образований проксимального отдела плечевой кости при нейропатической артропатии (Шарко) плечевого сустава [50,51], однако неврологического дефицита у пациентки в нашем случае не наблюдалось. Литературных данных об осложнениях инъекций ГКС достаточно много, однако каждое из них имеет этиологический агент.…”

Section: Discussionunclassified

Bone Cyst of Proximal Humerus after Local Betamethasone Injection (Case Report)

Коган¹,

Kurbanov²,

Lasunsky³

et al. 2020

Traumatology and Orthopedics of Russia

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A potent anti-inflammatory effect and wide application of corticosteroids were the origin of their extensive use for treatment of diseases and injuries of the shoulder joint. The authors describe a clinical case of tumor-like cyst in the proximal humerus after intra-articular injection of glucocorticosteroid (GCS) in a 43 year old woman. Current medical literature reports various complications following GCS injections but the authors found no other cases of tumor-like cyst in proximal humerus associated with intra-articular GCS injection. This can be an underestimated phenomenon or a unique case. In any case, all physicians performing treatment and diagnostics medication blockades of the large joints should be aware of this occurrence. The authors assume that such complication can be prevented by clear understanding of shoulder joint anatomy and current visualization techniques such as ultrasound navigation.

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“…The goal of treatment for patients with NA are early diagnosis, maintenance of joint and extremity function, and treatment of underlying disease, which it means immediately go to neurosurgery for syrinx evaluation. [ 30 ] Our patients can be accounted for by the complex interactions of syringomyelia complicating with BI. The progression of joint destruction was halted by neurosurgical decompression.…”

Section: Discussionmentioning

confidence: 99%

Charcot arthropathy of the shoulder joint as a presenting feature of basilar impression with syringomyelia

Wang

Gao

et al. 2018

Medicine

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Rationale:Charcot arthropathy, also known as Neuropathic arthropathy (NA), is an unusual chronic degenerative disease. To date, there exists a paucity of research on NA caused by syringomyelia.Patients concerns:A 52-year-old non-diabetic female presented with progressive swelling, pain and limited movement in her left shoulder joint combined with asthenia of her left upper extremity for three months.Diagnoses:Neuropathic arthropathy of the shoulder associated with the cervicothoracic syrinx and basilar impressions was diagnosed.Interventions:The treatment is directed to its potential cause to cease its progression. A posterior fossa decompression (PFD) was conducted for this patient.Outcomes:Postoperatively, the patient's symptoms were relieved and the size of syrinx was reduced at the 6-month follow-up.Lessons:Taken together with 34 previous reports identified from a PubMed search, an analysis of 35 cases of Charcot arthropathy was conducted. Surgical decompression is an effective treatment, but the optimal treatment remains controversial. Thus, the aim of this literature review was to remind us to diagnose the potential cause as early as possible and we should spare no efforts on the exploration of etiology and adjuvant therapy for this disease.

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Charcot shoulder and elbow: a review of the literature and update on treatment

Cited by 29 publications

References 46 publications

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

Bone Cyst of Proximal Humerus after Local Betamethasone Injection (Case Report)

Charcot arthropathy of the shoulder joint as a presenting feature of basilar impression with syringomyelia

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