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A rare case of ipsilateral shoulder and thumb CMC joint neuropathic arthropathy.

Butala RR, Arora M, Rao AA, Samant PD, Mukherjee S - J Surg Case Rep (2014)

Bottom Line: Neuropathic arthropathy (Charcot joints) most frequently affect the weight-bearing joints of the body, are commonly associated with a variety of medical and neurological conditions and are notoriously difficult to treat due to the nature of the underlying pathology.We present a case of ipsilateral shoulder and thumb carpometacarpal (CMC) joint neuropathic arthropathy secondary to cervical syringomyelia.To our knowledge, this is the first reported case in the literature of this rare association.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics, Padmashree Dr D. Y. Patil Hospital and Research Centre, Navi Mumbai, India.

No MeSH data available.


Related in: MedlinePlus

Clinical photograph of passive (left) and active (right) abduction of the left shoulder joint.
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RJU054F1: Clinical photograph of passive (left) and active (right) abduction of the left shoulder joint.

Mentions: On examination of the left shoulder, the patient had severe restriction of active shoulder movement with flexion of 80°, extension of 20°, external rotation of 50° and internal rotation of 20°. Active abduction was limited to 90° and was painless (Fig. 1). Passive range of movements was essentially normal and painless. There was no localized tenderness, local warmth or swelling. Neurological testing revealed normal tone, sluggish reflexes, power of grade 4 in the left upper limb with decreased sensation to pain, fine touch and temperature, suggestive of C3–C8 involvement. Proprioception and deep touch, however, was intact.Figure 1:


A rare case of ipsilateral shoulder and thumb CMC joint neuropathic arthropathy.

Butala RR, Arora M, Rao AA, Samant PD, Mukherjee S - J Surg Case Rep (2014)

Clinical photograph of passive (left) and active (right) abduction of the left shoulder joint.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4048985&req=5

RJU054F1: Clinical photograph of passive (left) and active (right) abduction of the left shoulder joint.
Mentions: On examination of the left shoulder, the patient had severe restriction of active shoulder movement with flexion of 80°, extension of 20°, external rotation of 50° and internal rotation of 20°. Active abduction was limited to 90° and was painless (Fig. 1). Passive range of movements was essentially normal and painless. There was no localized tenderness, local warmth or swelling. Neurological testing revealed normal tone, sluggish reflexes, power of grade 4 in the left upper limb with decreased sensation to pain, fine touch and temperature, suggestive of C3–C8 involvement. Proprioception and deep touch, however, was intact.Figure 1:

Bottom Line: Neuropathic arthropathy (Charcot joints) most frequently affect the weight-bearing joints of the body, are commonly associated with a variety of medical and neurological conditions and are notoriously difficult to treat due to the nature of the underlying pathology.We present a case of ipsilateral shoulder and thumb carpometacarpal (CMC) joint neuropathic arthropathy secondary to cervical syringomyelia.To our knowledge, this is the first reported case in the literature of this rare association.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics, Padmashree Dr D. Y. Patil Hospital and Research Centre, Navi Mumbai, India.

No MeSH data available.


Related in: MedlinePlus