Shoulder arthropathy secondary to syringomyelia: case series of 10 patients

Wawrzyniak, Anna; Lubiatowski, Przemysław; Kordasiewicz, Bartosz; Brzóska, Roman; Laprus, Hubert

doi:10.1007/s00590-021-03102-0

Cited by 7 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Syringomyelia may be congenital or secondary to trauma, infection, tumors, vascular abnormalities, or spinal degeneration . As it expands, a syrinx damages spinothalamic tract fibers and may compress dorsal column and anterior horn cells, resulting in loss of sensation of pain and temperature, decreased muscle strength, muscle atrophy, and arreflexia . Approximately 6% of patients with syringomyelia develop Charcot shoulder, and 80% have involvement of only 1 joint …”

Section: Discussionmentioning

confidence: 99%

Radiographic Absence of the Left Humeral Head

Roche

Sheehan

2023

JAMA

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Radiographic Absence of the Left Humeral Head

Roche

Sheehan

2023

JAMA

View full text Add to dashboard Cite

show abstract

“…Patients suffering from SM might experience a variety of additional problems, such as headaches, weakness, dissociated sensory disorders and neuropathic pain ( 1 , 9 ). Less frequent problems include balance disorders, spasticity and urinary disorders ( 10 ). Of patients with a diagnosis of SM, 20–30% develop shoulder NA ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

“…There is currently very little evidence in the literature related to shoulder arthropathy due to SM. All data come from a few case reports and small case series ( 4 , 5 , 8 , 9 , 10 , 11 ). We have developed a particular interest in this condition, reporting probably the largest series so far ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Shoulder arthropathy secondary to syringomyelia: systematic review

Wawrzyniak

Lubiatowski

2023

EFORT Open Reviews

Self Cite

View full text Add to dashboard Cite

Purpose: The purpose of this study was to collect and evaluate clinical and radiological evidence on shoulder neuroarthropathy (NA) in syringomyelia (SM) that may support the management and treatment of patients with this condition. Materials and methods: This systematic review is based on the analysis of reports available in PubMed, Embase, Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials using the following keywords: syringomyelia, neuroarthropathy, Charcot joint and shoulder degeneration. Thirty-nine publications were found presenting case reports or case series meeting our criteria. Pooled data included a group of 65 patients and 71 shoulders with NA secondary to SM. Results: The most commonly reported symptoms were range of motion (ROM) limitation, weakness, swelling, pain and dissociated sensory loss. NA is usually monolateral and concerns only the shoulder. The average active shoulder ROM was flexion −59.2° (s.d. 37.9), internal rotation −29.8° (s.d. 22.6) and external rotation −21.1° (s.d. 23.6). Most of the patients (75%) presented with complete or nearly complete proximal humerus degeneration, while the degree of glenoid preservation varied. Fifty-two neuroarthropathic shoulders were treated conservatively with physiotherapy, anti-inflammatory medication and splinting. Eighteen patients were treated by surgical intervention. Conclusion: Shoulder NA due to SM is a devastating and progressive condition, and its course is often unpredictable. Patients with unexplained shoulder degeneration should be evaluated for SM, especially if there are additional neurological symptoms. Conservative treatment usually reduces shoulder pain without improving ROM. For select patients, shoulder arthroplasty may be a better option for restoring function.

show abstract

Arthritis of the Glenohumeral Joint

Razmjou

2022

Clinical and Radiological Examination of the Shoulder Joint

View full text Add to dashboard Cite

Shoulder arthropathy secondary to syringomyelia: case series of 10 patients

Cited by 7 publications

References 20 publications

Radiographic Absence of the Left Humeral Head

Radiographic Absence of the Left Humeral Head

Shoulder arthropathy secondary to syringomyelia: systematic review

Arthritis of the Glenohumeral Joint

Contact Info

Product

Resources

About