Skip to main content
Top
Published in: Rheumatology International 4/2023

22-10-2022 | Syringomyelia | Case Based Review

Neuropathic arthropathy of the shoulder secondary to operated syringomyelia: a case-based review

Authors: Burhan Fatih Kocyigit, Betül Kızıldağ

Published in: Rheumatology International | Issue 4/2023

Login to get access

Abstract

Neuropathic arthropathy (NA) is a long-term progressive disorder that causes joint destruction in the existence of a neurologic deficit. Minor injuries and fractures are commonly overlooked until the visible joint deterioration becomes persistent. Syringomyelia is one of the important causes of NA. The appearance of clinical signs in syringomyelia is caused by longitudinal cysts formed in the cervical and cervicothoracic regions of the spinal cord. Depending on the existence of the underlying disorder, the number and localization of the syrinxes, a range of symptoms, involving pain, sensation deficit, loss of motor function, and deep tendon reflex abnormality, emerge. The case is here described of a 68-year-old female patient with shoulder NA following syringomyelia, who partially responded to the rehabilitation program. Furthermore, the available case reports were comprehensively reviewed on Web of Science, Scopus, and PubMed/Medline. Furthermore, the available case reports were comprehensively evaluated on Web of Science, Scopus, and PubMed/Medline. Thus, we aimed to present the demographic characteristics, symptoms, physical examination signs, treatment, and follow-up parameters of syringomyelia-related shoulder NA cases.
Literature
7.
go back to reference Guyton GP, Saltzman CL (2002) The diabetic foot: basic mechanisms of disease. Instr Course Lect 51:169–181PubMed Guyton GP, Saltzman CL (2002) The diabetic foot: basic mechanisms of disease. Instr Course Lect 51:169–181PubMed
21.
go back to reference Cullen AB, Ofluoglu O, Donthineni R (2005) Neuropathic arthropathy of the shoulder (Charcot shoulder). Medscape Gen Med 7:29 Cullen AB, Ofluoglu O, Donthineni R (2005) Neuropathic arthropathy of the shoulder (Charcot shoulder). Medscape Gen Med 7:29
25.
go back to reference Ekim A, Armağan O (2007) Neuropathic arthropathy caused by syringomyelia in different joints and lesion of brachial plexus at right upper extremity: a case report. Agri 19:54–58PubMed Ekim A, Armağan O (2007) Neuropathic arthropathy caused by syringomyelia in different joints and lesion of brachial plexus at right upper extremity: a case report. Agri 19:54–58PubMed
33.
go back to reference Hernigou J, Boulares S, Delahaut O (2018) Spontaneous posterior shoulder dislocation as the first symptom of a Charcot arthropathy. Acta Orthop Belg 84:73–77PubMed Hernigou J, Boulares S, Delahaut O (2018) Spontaneous posterior shoulder dislocation as the first symptom of a Charcot arthropathy. Acta Orthop Belg 84:73–77PubMed
37.
go back to reference Kisabay A, Zeybek S, Serpil SA, Tanyeli A, Selcuki D (2013) A pre-and postoperative evaluation of multiple joint involvement as the initial finding of cervical syringomyelia and neuropathic arthropathy. Arch Rheumatol 28(4):271–7 Kisabay A, Zeybek S, Serpil SA, Tanyeli A, Selcuki D (2013) A pre-and postoperative evaluation of multiple joint involvement as the initial finding of cervical syringomyelia and neuropathic arthropathy. Arch Rheumatol 28(4):271–7
43.
go back to reference Mazlout O, Larnaout A, El Mufti T, Kammoun N, Ladeb MF (2005) Shoulder arthropathy (Charcot joint) and syringomyelia: report of two patients. Eur J Orthop Surg Traumatol 15:37–41CrossRef Mazlout O, Larnaout A, El Mufti T, Kammoun N, Ladeb MF (2005) Shoulder arthropathy (Charcot joint) and syringomyelia: report of two patients. Eur J Orthop Surg Traumatol 15:37–41CrossRef
54.
go back to reference Riente L, Frigelli S, Sedie AD (2002) Neuropathic shoulder arthropathy associated with syringomyelia and Arnold-Chiari Malformation (Type I). J Rheumatol 29:638–639PubMed Riente L, Frigelli S, Sedie AD (2002) Neuropathic shoulder arthropathy associated with syringomyelia and Arnold-Chiari Malformation (Type I). J Rheumatol 29:638–639PubMed
55.
go back to reference Ruette P, Stuyck J, Debeer P (2007) Neuropathic arthropathy of the shoulder and elbow associated with syringomyelia: a report of 3 cases. Acta Orthop Belg 73:525–529PubMed Ruette P, Stuyck J, Debeer P (2007) Neuropathic arthropathy of the shoulder and elbow associated with syringomyelia: a report of 3 cases. Acta Orthop Belg 73:525–529PubMed
56.
go back to reference Sackellares JC, Swift TR (1976) Shoulder enlargement as the presenting sign in syringomyelia. report of two cases and review of the literature. JAMA 236:2878–2879CrossRefPubMed Sackellares JC, Swift TR (1976) Shoulder enlargement as the presenting sign in syringomyelia. report of two cases and review of the literature. JAMA 236:2878–2879CrossRefPubMed
58.
go back to reference Singer L, Brust JCM, Chailenor YB (1992) Syringomyelia presenting as shoulder dysfunction. Arch Phys Med Rehabil 73:285–288PubMed Singer L, Brust JCM, Chailenor YB (1992) Syringomyelia presenting as shoulder dysfunction. Arch Phys Med Rehabil 73:285–288PubMed
Metadata
Title
Neuropathic arthropathy of the shoulder secondary to operated syringomyelia: a case-based review
Authors
Burhan Fatih Kocyigit
Betül Kızıldağ
Publication date
22-10-2022
Publisher
Springer Berlin Heidelberg
Keyword
Syringomyelia
Published in
Rheumatology International / Issue 4/2023
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-022-05234-w

Other articles of this Issue 4/2023

Rheumatology International 4/2023 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine