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[Syringomyelia and associated bone and joint diseases].

J-Y Alnot1, R Rossarie, F Welby

  • 1Service de Chirurgie Orthopédique et Traumatologique, Département de Chirurgie du Membre Supérieur, Hôpital Bichat, 46, rue Henri-Huchard, 75877 Paris Cedex 18. jean-yves.alnot@bch.ap-hop-paris.fr

Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|May 31, 2007
PubMed
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Syringomyelia, a neurological condition, can cause bone and joint diseases, often misdiagnosed. Early recognition of syringomyelia is crucial for proper treatment and avoiding ineffective surgeries.

Area of Science:

  • Neurology
  • Rheumatology
  • Orthopedics

Background:

  • Syringomyelia can manifest as bone and joint diseases.
  • Joint destruction, particularly in the shoulder and elbow, may present with minimal pain, suggesting a neurological origin.

Observation:

  • Two cases illustrate diagnostic challenges where initial diagnoses of rheumatoid polyarthritis or osteoarthritis were misleading.
  • The syringomyelic origin of bone and joint disease can be overlooked initially.

Findings:

  • Syringomyelia may be underdiagnosed in patients with atypical presentations.
  • Awareness of syringomyelia's prevalence aids diagnosis and identifies candidates for neurosurgical intervention.

Implications:

  • Early recognition of syringomyelia is vital for appropriate patient management.

Related Experiment Videos

  • Arthroplasty is generally not recommended for destroyed, dislocated syringomyelic joints.