Neuropathic shoulder arthropathy (Charcot joint) associated with syringomyelia

Jones, James; Wolf, Sheldon M.

doi:10.1212/wnl.50.3.825

Cited by 53 publications

(42 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Th e radiological appearance of a diseased joint in the advanced stages of disease is characterized by debris, destruction, dislocation, sclerosis, and disorganization of the joint [7]. Radiographic fi ndings of hypertrophy or atrophy of the joint are believed to be two natural stages of this disease [4,8].…”

Section: Discussionmentioning

confidence: 99%

Charcot shoulder caused by Chiari type I malformation with syringomyelia with six-year follow-up

Grahovac

Vilendecic

Srdoč

2011

Wien Klin Wochenschr

View full text Add to dashboard Cite

We are presenting a case report of neuropathic arthropathy of the shoulder secondary to a syringomyelia and Chiari type I malformation, with detailed clinical and radiological findings. Neuropathic joints were first described in 1868 by Charcot, and subsequently were described in many types of peripheral diseases and central neuron diseases. There are many causes of syringomyelia, and one of the causes of this disease is a Chiari type I malformation. Subsequently, shoulders and elbows are most commonly affected by syringomyelia-induced neuropathy. Our patient was observed for six years after being diagnosed with neuropathic arthropathy and syringomyelia caused by Chiari and did not show any disease progression after their surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Charcot shoulder caused by Chiari type I malformation with syringomyelia with six-year follow-up

Grahovac

Vilendecic

Srdoč

2011

Wien Klin Wochenschr

View full text Add to dashboard Cite

show abstract

“…It is known to occur mostly in the shoulder and the elbows in patients with cervical syringomyelia. 4) Neuropathic arthropathy in the shoulder is rare and is associated with destruction of the proximal humerus and of the glenoid and with inflammation of the joints.…”

Section: Discussionmentioning

confidence: 99%

Neuropathic Arthropathy of the Shoulder Associated with Cervical Syringomyelia: A Case Report

Park¹,

Im²,

Moon³

et al. 2015

Clinics in Shoulder and Elbow

View full text Add to dashboard Cite

Neuropathic shoulder arthropathy or Charcot's shoulder is an extremely rare disease, and sometimes it is associated with cervical syringomyelia. Clinical symptoms of the disease include edema of the shoulder and restriction in range of motion. Radiological diagnosis can be made through plain radiography through a characteristic, atrophic destruction of the joint. We experienced a Charcot's joint of the shoulder wherein destruction of the joint progressed extremely quickly and reviewed the literature concerning this condition. Correspondence to: Yongbeom Lee Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, 22 Gwanpyeong-ro 170beon-gil, Dongan-gu, Anyang 14068, Korea Tel: +82-31-380-3770, Fax: +82-31-380-4118, E-mail: drleeyb@naver.com Charcot's joint is an extremely uncommon disease, and it is infrequently associated with cervical syringomyelia. A quarter of patients with cervical syringomyelia have been shown to have concomitant neuropathic arthropathy, 5% to 6% of which occur in the shoulder.1) The number of reported cases of this disease is very few and those existing are cited in the international literature; the Korean literature has yet to report of a case. The clinical symptoms of the disease include restriction in shoulder range of motion (ROM) and cellulitis associated with hypoesthesia or with edema. The authors encountered a patient whose Charcot's joint of a shoulder and joint destruction proceeded at an extremely fast pace. We report this case along with a review of the literature concerning this disease. Case ReportA male patient aged 44 years had suffered from restriction in ROM and severe swelling a week previous to his admission to hospital. The patient has a history of a 4th thoracic vertebral fracture 20 years ago for which he received conservative management and a history of syringomyelia 11 years ago. For the treatment syringomyelia the patient had received, at a different hospital, surgical treatment. The postoperative hypoesthesia of the bilateral upper limbs and paralysis of the lower body he sustained permanently meant that the patient has had to live with the aid of a wheelchair.The patient had a medical history of a suspected cellulitis of the same shoulder 4 months previous to the current visit, for which the patient had been given oral antibiotics. The patient's symptoms improved with medication. Four months later, the patient complained of mild pain around the shoulders. With physical examination, we found that the right shoulder presented with severe swelling and focal flaring, causing us to suspect septic ar- , and an internal rotation to the 1st lumbar spine. The results of blood tests taken at the time of admission were higher than normal: a white blood cell count of 9,100 cells/cm 2 , an erythrocyte sedimentation rate of 67 mm/h, and a C-reactive protein level of 20.2 mg/d. In addition, the plain radiography of the right shoulder showed osteopenia of the humeral head, destructive changes of the glenohumeral joint, and intra-and extra-articular detachmen...

show abstract

“…Its causes include congenital, traumatic, infectious, degenerative, and vascular or tumour related. 13,14,18,19 MRI is considered the gold standard for visualization of a syrinx. Syringomyelia is a potential cause of neuropathic osteoarthropathy of the shoulder, or "Charcot's shoulder."…”

Section: Discussionmentioning

confidence: 99%

“…14,20 Those authors also stated that synovectomy is not helpful and that a neuropathic shoulder should be treated nonoperatively, with an emphasis on the maintenance of function. The therapy for neuropathic arthropathy is conservative.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Bilateral Charcot’s arthropathy of shoulder secondary to syringomyelia –a rare case report

Mondal¹

2014

IOSR-JDMS

View full text Add to dashboard Cite

Neuropathic arthropathy of the shoulder is a rare disorder that has been described in fewer thansixty patients in the world literature 1,3,4,7,10,12,14,17,18,20,27 I. Case ReportA 66-year-old male presented to our outpatient department with painless swelling of both his shoulders and restricted movements of the bilateral shoulder joints. His condition began when he was approximately 55 years old and he started experiencing reduced sensation in the bilateral upper limbs. Gradually he started experiencing reduced sensations in the bilateral lower limbs. Despite that, he did not seek medical attention and his condition gradually worsened. There was no history of significant trauma in the past.Physical examination revealed generalized swelling about the shoulder, more on the right side [ Figure 1]. On the right side, there was abnormal motion, where the shoulder joint would be expected, with huge abnormal swelling. On the other hand, the left shoulder joint was found to be dislocated, with humeral head anterior to glenoid cavity, leading to significant restricted joint movement. On palpation, the shoulder joints were nontender. Bilateral shoulder movements were restricted. Active forward flexion was 80° on the right and 30° on the left side, abduction 20° on the left and 25° on the right side and internal rotation bilaterally up to the sacrum. He had 4/5 shoulder abductor strength and 4/5 shoulder flexor and extensor strength bilaterally. Range of motion for passive movements was significantly higher than on active movements, more on the right side. Passive movement was painful on terminal range of motions. His biceps strength was 4/5; triceps strength was 5/5 while motor strength in bilateral distal extremities was 5/5. There was decreased sensation involving the entire upper extremities bilaterally. The biceps, triceps and brachioradialis reflex were absent.

show abstract

Neuropathic shoulder arthropathy (Charcot joint) associated with syringomyelia

Cited by 53 publications

References 1 publication

Charcot shoulder caused by Chiari type I malformation with syringomyelia with six-year follow-up

Charcot shoulder caused by Chiari type I malformation with syringomyelia with six-year follow-up

Neuropathic Arthropathy of the Shoulder Associated with Cervical Syringomyelia: A Case Report

Bilateral Charcot’s arthropathy of shoulder secondary to syringomyelia –a rare case report

Contact Info

Product

Resources

About