Published in:
01-04-2010 | Case Report
Rapidly progressive neuropathic arthropathy of the knee in possible association with a huge extruded cervical intervertebral disc herniation
Authors:
Hideaki Nakajima, Kenzo Uchida, Hisashi Oki, Takafumi Yayama, Erisa Mwaka, Yasuo Kokubo, Ryuichiro Sato, Shigeru Kobayashi, Norbert Orwotho, Hisatoshi Baba
Published in:
Rheumatology International
|
Issue 6/2010
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Abstract
A 58-year-old woman with an insignificant stage of diabetes mellitus presented with rapidly progressive osteoarthritis of her right knee exhibiting painless but significant antero-posterior and lateral instability. In association, she had a huge extruded left-sided cervical intervertebral disc at the C4–5 level. Neurological examination of the upper limbs was normal but, she had diminished pinprick sensation on the right leg. Radiographic findings were consistent with neuropathic arthropathy of the knee. Anterior decompression with fusion of C4–5 and total knee arthroplasty using a semi-constrained-type artificial implant were performed in one stage. The patient regained nearly normal living activity following surgical intervention. We stress the possibility of rapid progression of knee joint arthropathy, as neuropathic knee, even in a patient with less significant symptoms and signs of cervical myelopathy caused by a huge extruded intervertebral disc.