Limits...
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

Cervical spine MRI showing a multi-level syringomyelia of the cervical spine.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4048985&req=5

RJU054F5: Cervical spine MRI showing a multi-level syringomyelia of the cervical spine.

Mentions: We further evaluated the patient using radiographs of the shoulder (Fig. 2) and thumb (Fig. 3) which confirmed our suspicion of neuropathic arthropathy. To exclude Milwaukee shoulder as a cause of the severe changes observed on the shoulder radiograph, we performed an MRI of the shoulder which revealed an intact rotator cuff (Fig. 4). Further, due to the associated neurological symptoms in the left upper limb, we performed an MRI of the cervical spine (Fig. 5) to identify any underlying neurological pathology. This MRI revealed a multi-level cervical syringomyelia.Figure 2:


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)

Cervical spine MRI showing a multi-level syringomyelia of the cervical spine.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

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

RJU054F5: Cervical spine MRI showing a multi-level syringomyelia of the cervical spine.
Mentions: We further evaluated the patient using radiographs of the shoulder (Fig. 2) and thumb (Fig. 3) which confirmed our suspicion of neuropathic arthropathy. To exclude Milwaukee shoulder as a cause of the severe changes observed on the shoulder radiograph, we performed an MRI of the shoulder which revealed an intact rotator cuff (Fig. 4). Further, due to the associated neurological symptoms in the left upper limb, we performed an MRI of the cervical spine (Fig. 5) to identify any underlying neurological pathology. This MRI revealed a multi-level cervical syringomyelia.Figure 2:

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