Occurrence of Neuropathic Osteoarthropathy of the Elbow Joint After Fixation of the Radius Nonunion in a Patient with Syringomyelia

Minami, Akio; Kato, Hiroyuki; Hirayama, Takuya

doi:10.1097/00005131-199708000-00017

Cited by 6 publications

(5 citation statements)

References 2 publications

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“…Charcot's Arthropathy of elbow is usually rare condition with few case report and case series being reported in literature. [6][7][8][9][10][11][12][13][14][15][16][17] Only 3% to 8% neuropathic joints, reports involvement of elbow joint. In the literature, two theories were postulated by the researchers that describe the pathogenesis of this condition, they are the neurotraumatic and neurovascular theory.…”

Section: Discussionmentioning

confidence: 99%

A Unusual Case of Charcot’s Arthropathy of Elbow Caused by Syringomyelia and Chiari Malformation Complicated with Scoliosis

2020

IJFMT

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Neuropathic joints, which is also known as Charcot's Arthropathy, is a destructive joint pathology resulting from loss or decrease in proprioception, pain and temperature sensations. Patients suffering from diseases associated with neuropathy like diabetes mellitus, syringomyelia and syphilis are said to be prone to the disease. Patients with syringomyelia commonly suffer with arthropathy involving shoulder. We report a case of 35 year old male patient with syringomyelia and charcot's arthropathy involving left elbow.

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Section: Discussionmentioning

confidence: 99%

A Unusual Case of Charcot’s Arthropathy of Elbow Caused by Syringomyelia and Chiari Malformation Complicated with Scoliosis

2020

IJFMT

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“…Neuropathic arthropathy is a rare condition, with only a few case reports and small case series being reported in the literature. [1][2][3][4][5][6][7][8][9][10][11][12] The incidence of elbow joint involvement in patients with neuropathic arthropathy is considered to range from 3% to 8%. Eichenholtz reported three cases of neuropathic elbow out of 94 joints.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, most of the current literature comprises of case reports and small case series with limited outcome data. [2][3][4][5][6][7][8][9][10][11][12]…”

Section: Introductionmentioning

confidence: 99%

Neuropathic arthropathy of the elbow treated with double-plate arthrodesis and resection site bone graft

Jen

Tan

2015

Shoulder & Elbow

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Neuropathic arthropathy of the elbow is a rare condition, which is disabling and difficult to treat. Initial treatment is conservative and arthrodesis is rarely indicated. We describe an unusual case of progressive unilateral elbow swelling in a 37-year-old female domestic helper. She was found to have neuropathic arthropathy of her right elbow secondary to underlying cervico-thoracic syringomyelia. She underwent decompression of the syringomyelia before underdoing elbow fusion. Her elbow was initially immobilized in a cast to minimize bony fragmentation and soft tissue swelling. Serial X-rays were performed with a regular change of cast as the swelling subsided. When there was no further radiological evidence of bony fragmentation, elbow fusion at 60 was performed using a two-plate technique at 7 months after the initial presentation. With well-preserved ipsilateral hand function, she was could still perform household chores despite having a fused elbow. Radiological evidence of successful elbow fusion was documented at 23 weeks after surgery. There were no complications. If elbow fusion is considered, we recommend a trial of immobilization in the preferred angle of fusion to assess the patient's suitability. Factors such as the young age of a patient and good quality bone may also contribute to the success of the fusion

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“…Surgical management of concomitant neuropathy or fracture nonunion appears to be associated with a good clinical outcome. 9 Surgical management of the underlying joint pathology, however, has not been reported in the literature. In general, surgical intervention is not recommended, as it is thought to be associated with unpredictable outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Most information in the literature comprises case reports with a small number of patients and minimal follow-up data. 3,4,8,9,11,13 The largest series to date, consisting of 5 patients, was reported by Deirmengian et al 4 …”

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confidence: 99%

Neuropathic elbow arthropathy: A review of six cases

Kwon

Morrey

2006

Journal of Shoulder and Elbow Surgery

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Occurrence of Neuropathic Osteoarthropathy of the Elbow Joint After Fixation of the Radius Nonunion in a Patient with Syringomyelia

Abstract: A case of syringomyelia with Chiari malformation is reported that showed neuropathic osteoarthropathy of the elbow joint after fixation of the ipsilateral radius nonunion. No similar case has been reported in the literature.

Cited by 6 publications

References 2 publications

A Unusual Case of Charcot’s Arthropathy of Elbow Caused by Syringomyelia and Chiari Malformation Complicated with Scoliosis

A Unusual Case of Charcot’s Arthropathy of Elbow Caused by Syringomyelia and Chiari Malformation Complicated with Scoliosis

Neuropathic arthropathy of the elbow treated with double-plate arthrodesis and resection site bone graft

Neuropathic elbow arthropathy: A review of six cases

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