Speciality
Spotlight

 



 


Orthopaedics


 

 


Musculoskeletal System
  

  • Shoulder
    Hatzis N, Kaar TK, Wirth MA, et
    al [ Univ of Texas, San Antonio]
    Neuropathic
    Arthropathy of the Shoulder


    J Bone Joint Surg Am 80-A: 1314-1319, 1998

     
    Neuropathic arthropathy of the
    shoulder is a rare condition with a variable
    presentation.
     
    An acute onset of shoulder
    symptoms, usualy after minor trauma to the previously
    normal shoulder.
     
    Pain was relatively mild.
    Neurologic symptoms were present in all patients.



    Resorption of the humeral head was apparent on
    radiographs of all.



    MRI demonstrated a central cord syrinx in 5 patients.
    The diagnosis of syringomyelia was made.



    Neuropathic arthropathy of the shoulder is a rare
    condition that is most often associated with
    syringomyelia.



    The presentation usually consists of shoulder swelling
    and pain, stiffness, or loss of motion. 



    Radiographs show extensive and rapid destruction of
    the proximal aspects of the hemerus and glenoid.
    Treatment should be nonoperative, with a focus on
    preservation of function, shoulder arthodesis is
    contraindicated.
       



 

         

Speciality Spotlight

 

 

Musculoskeletal System
  

  • Shoulder Hatzis N, Kaar TK, Wirth MA, et al [ Univ of Texas, San Antonio]
    Neuropathic Arthropathy of the Shoulder
    J Bone Joint Surg Am 80-A: 1314-1319, 1998

     
    Neuropathic arthropathy of the shoulder is a rare condition with a variable presentation.
     
    An acute onset of shoulder symptoms, usualy after minor trauma to the previously normal shoulder.
     
    Pain was relatively mild. Neurologic symptoms were present in all patients.

    Resorption of the humeral head was apparent on radiographs of all.

    MRI demonstrated a central cord syrinx in 5 patients. The diagnosis of syringomyelia was made.

    Neuropathic arthropathy of the shoulder is a rare condition that is most often associated with syringomyelia.

    The presentation usually consists of shoulder swelling and pain, stiffness, or loss of motion. 

    Radiographs show extensive and rapid destruction of the proximal aspects of the hemerus and glenoid. Treatment should be nonoperative, with a focus on preservation of function, shoulder arthodesis is contraindicated.
       

 

By |2022-07-20T16:44:11+00:00July 20, 2022|Uncategorized|Comments Off on Musculoskeletal System

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