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.