Neuropathic arthropathy. Answer to the e-quid “A highly damaged shoulder”

Mortamais, J.; Ramain, A.; Hoang, V. Vo; Fouque-Aubert, Anne; Ltaief-Boudrigua, A.; Pialat, Jean‐Baptiste

doi:10.1016/j.diii.2012.05.016

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…Combining the above viewpoints, we suspect that the trauma of the operation may have caused an exacerbation of the NA, leading to acute vasodilatation and may have accelerated the fusion. Mortamais et al ( 12 ) also reported a patient misdiagnosed with Chronic Rheumatism. The shoulder, ipsilateral to the involved wrist, was initially normal and became symptomatic after biopsy and rapidly worsened in 6 months.…”

Section: Discussionmentioning

confidence: 99%

“…NA of other joints can be managed with orthosis, arthroplasty, or fusion when they transit to an inactive Eichenholtz stage 3 ( 7 – 11 ). However, the case report of NA of the wrist treated with osteoarticular surgery is rare ( 12 ) and the outcome is unclear. Purnell et al ( 13 ) treated two patients with scaphoid nonunion advanced collapse (SNAC) by using Four-Corner Arthrodesis.…”

Section: Discussionmentioning

confidence: 99%

“…Ultimately, the right wrist joint fused spontaneously and completely in 4 months after surgery, which should be considered to be the characteristic of stage 3, although the persistent pain after the surgery disappeared. Mortamais et al ( 12 ) also concluded surgical treatment should only be considered once the bone destruction process has ceased.…”

Section: Discussionmentioning

confidence: 99%

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Rapid Spontaneous Total Fusion of Neuropathic Arthropathy of the Wrist After Limited Intercarpal Arthrodesis: A Case Report and Brief Literature Review

Zhang

et al. 2022

Front. Surg.

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BackgroundPrevious reports on the treatment of neuropathic arthropathy of the wrist were generally conservative, with few case reports of treatment with osteoarticular surgery.Case PresentationA 25-year-old right-handed male complained of unpainful swelling of the dorsal aspect of his right wrist for 3 years. He was at that time diagnosed with synovitis and radiocarpal arthritis. The patient underwent a partial Four-Corner Arthrodesis and Synoviectomy to preserve motor function. Over the next 2 months, his right wrist also developed painful redness, with progressive swelling and stiffness. Rheumatoid arthritis, tuberculosis arthritis, and infectious diseases were ruled out in this case. Magnetic resonance imaging (MRI) indicated that he had Chiari II syringomyelia so the patient was eventually diagnosed with destructive neuropathic arthropathy (syringomyelia). After 2 months of conservative treatment, the patient’s right wrist spontaneously and completely fused and the pain disappeared.ConclusionNeuropathic arthropathy of the wrist is a rare but clinically significant disease due to its effect on the function of the active limb. Surgeons should rule out a diagnosis of it when treating patients with wrist swelling and osteoarticular abnormalities, otherwise, limited intercarpal arthrodesis should not be taken as a treatment option. Inappropriate partial surgery is likely to lead to rapid total fusion of neuropathic arthropathy of the wrist.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Rapid Spontaneous Total Fusion of Neuropathic Arthropathy of the Wrist After Limited Intercarpal Arthrodesis: A Case Report and Brief Literature Review

Zhang

et al. 2022

Front. Surg.

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“…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%

Multifocal neuropathic arthropathy causing disability in Parkinson's disease

Tuna¹,

Balcı²

2015

Turk J Bioch

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Nöropatik artropati ya da diğer adıyla Charcot eklemi, genellikle periferik sensorial nöropatinin neden olduğu ilerleyici dejeneratif bir artropatidir. Biz burada bir Parkinson hastasında, nadir ve alışılmadık bir durum olarak idiyopatik polinöropatiye sekonder gelişen ve hastayı tekerlekli sandalyeye bağımlı hale getiren multifokal tutulumlu nöropatik artropati olgusu sunduk.Neuropathic arthropathy in other words Charcot joint is a progressive degenerating arthropathy which is generally caused by peripheral sensory neuropathy. Here, we present a multifocal neuropathic arthropathy secondary to idiopathic polyneuropathy patient with Parkinson disease as a rare and unusual presentation, who has become wheelchair-dependent.

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Neuropathic arthropathy of the shoulder secondary to operated syringomyelia: a case-based review

Koçyiğit

Kızıldağ²

2022

Rheumatol Int

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Neuropathic arthropathy. Answer to the e-quid “A highly damaged shoulder”

Cited by 5 publications

References 5 publications

Rapid Spontaneous Total Fusion of Neuropathic Arthropathy of the Wrist After Limited Intercarpal Arthrodesis: A Case Report and Brief Literature Review

Rapid Spontaneous Total Fusion of Neuropathic Arthropathy of the Wrist After Limited Intercarpal Arthrodesis: A Case Report and Brief Literature Review

Multifocal neuropathic arthropathy causing disability in Parkinson's disease

Neuropathic arthropathy of the shoulder secondary to operated syringomyelia: a case-based review

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