Neuropathic elbow arthropathy: A review of six cases

Arthrodesis in a neuropathic elbow after posttubercular spine syrinx

“…The neuropathic joint is painful in the early stages of the disease in a minority of patients. 7 In the present case, the patient never had pain; his main complaints were swelling and instability of the elbow. The patient presented to us after 2 years of onset of the symptoms.…”

“…4 Syringomyelia is known to be most common cause of Charcot arthropathy in the upper limb, 14 but a combination of Charcot joint and syringomyelia is rare, with only limited literature available on the topic. 7,9 Syringomyelia often occurs in association with hindbrain malformations, trauma, tumors, or arachnoiditis. 12 Syrinx after tuberculosis is rare.…”

“…The reasons to favor conservative treatment in all series is good patient satisfaction and acceptance of instability. 3,7,10 The very few reports of treatment by surgery have shown variable results (Table I).…”

Charcot's arthropathy of elbow joint

“…Charcot's arthropathy is treated conservatively and surgical intervention is avoided. 4 Aspiration of large effusions to prevent ligamentous laxity, bisphosphonates to inhibit osteoclasts and reduce bone turnover could be of benefit. 5 Maintenance of function, rather than immobilisation is the cornerstone of treatment.…”

A Pre- and Postoperative Evaluation of Multiple Joint Involvement as the Initial Finding of Cervical Syringomyelia and Neuropathic Arthropathy

“…However, no significant differences were found in the neurological evaluations carried out at the time of the operation and two months later, but long-term follow-up is recommended. [2] Kwon and Morrey [17] stated that surgery for Charcot arthropathy might be useful for some patients but added that it is not the first option and that functional devices and physical therapy must be tried first.…”