Syringobulbia in a Setting of Charcot Arthropathy of the Elbow Secondary to Syringomyelia

Abstract

Case: The authors present a case of syringobulbia in a setting of elbow arthropathy due to syringomyelia. The patient had painless elbow instability with subtle neurological findings such as ulnar neuropathy, palatal palsy, and dysphonia. As she denied surgery, she was managed with physiotherapy and orthosis. At 24 months of follow-up, she had good clinical outcome without neurological or functional worsening. Conclusion: Many patients with neuropathic joints due to syringomyelia present to an orthopaedician before a neurologist. A high index of suspicion and thorough neurological examination is essential. Conservative management of such a joint provided good results in this patient.

Physiotherapy in the prevention and treatment of upper limb complications in women with breast cancer

“…It is the ideal tool to assess all joint movements. It is a simple, low-cost instrument and widely used to assess other joints 38 . The strength assessment of isolated muscle groups can be performed manually following the Oxford Strength Grade Scale, which can be used to assess upper limb strength.…”