Tabetic arthropathy of the knee: MRI aspects

En-Nafaa, I.; Ziadi, T.; Africha, Taoufik

doi:10.1016/j.jbspin.2016.02.001

Cited by 3 publications

(2 citation statements)

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“… Pain Twenty-one studies involving 52 patients described a degree of pain and tenderness as a presenting complaint [ 7 , 16 , 17 , 19 – 24 , 28 , 35 , 37 , 38 , 44 , 47 , 54 , 57 – 61 ] especially during movement [ 21 , 37 , 57 ]. However, neuropathic arthropathy is classically described as a painless condition, with 9 studies involving 11 patients reporting an initial painless presentation [ 6 , 8 , 12 , 13 , 15 , 36 , 39 , 41 , 48 ]. Furthermore, the degree of pain does not correspond with the level of bone and joint destruction [ 19 , 28 , 37 , 60 , 62 ].…”

Section: Resultsmentioning

confidence: 99%

Charcot knee — presentation, diagnosis, management — a scoping review

Zhang

Thahir

et al. 2021

Clin Rheumatol

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Background Charcot arthropathy is a progressive, non-infectious, destructive inflammatory process. Charcot arthropathy of the knee (CK) is rare and diagnosis is often delayed, resulting in detrimental outcomes. This scoping review aims to investigate the literature on CK, present the pathognomonic features of CK to aid early diagnosis, and suggest gaps in the literature for future research. Methods A systematic search of PubMed, EMBASE, Web of Science for literature relevant to CK was performed. Primary studies such as case reports, case series, retrospective studies were included. Review articles and animal studies were excluded. Results Of the 513 results, 58 were included in qualitative synthesis. Average time from symptom onset to CK diagnosis was 50.5 months. Eighteen and twenty-one studies included patients who had diabetes mellitus and syphilis, respectively. Twenty-one studies reported pain as a presenting complaint, but the degree of pain didn’t correspond with the level of destruction. Oedema and joint effusion were noticed in 34 studies. Twenty-nine studies reported lower limb hypoesthesia and 17 studies reported decreased tendon reflex. Twenty-eight studies reported initial conservative treatment, often in a knee brace with minimal weight bearing, 9 of which needed subsequent surgical management. Twelve studies utilised arthrodesis, with fracture at the intramedullary nail entry site being the most common complication. Twenty-four studies utilised TKA. Conclusion The literature on CK remains sparse, with most publications being case reports. Given that CK dramatically reduces quality of life, increases morbidity of patients, there is need for more literature on evidence-based options for early diagnoses and management.

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Section: Resultsmentioning

confidence: 99%

Charcot knee — presentation, diagnosis, management — a scoping review

Zhang

Thahir

et al. 2021

Clin Rheumatol

View full text Add to dashboard Cite

show abstract

“…30 Charcot arthropathy is an unusual but recognized complication of tabes dorsalis reported in previous studies. 3,[31][32][33] The cranial MRI results further illuminate the broader neurological implications of tabes dorsalis. General paresis, characterized by progressive cognitive and motor dysfunction, 3 and syphilitic meningoencephalitis, involving inflammation of the brain and meninges, 34 underscore the severity and diversity of neurological complications in untreated tabes dorsalis patients.…”

Section: Neuroimaging Alterationsmentioning

confidence: 90%