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Charcot shoulder joint associated with syringomyelia: a case report.

D F Drake1, W O McKinley

  • 1Virginia Commonwealth University, Medical College of Virginia, Department of Physical Medicine and Rehabilitation, Richmond, Virginia, USA.

The Journal of Spinal Cord Medicine
|June 1, 2007
PubMed
Summary
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A patient with syringomyelia developed a Charcot shoulder due to sensory loss, leading to joint destruction. Early diagnosis and management, including patient education, are crucial for preventing further impairment.

Area of Science:

  • Neurology
  • Orthopedics
  • Rheumatology

Background:

  • Syringomyelia, a condition involving fluid-filled cavities within the spinal cord, can lead to neurological deficits.
  • Degenerative spine disease can predispose individuals to secondary complications.
  • Cervical syringomyelia may present with progressive upper extremity symptoms.

Observation:

  • A 36-year-old male with cervical syringomyelia presented with left upper extremity weakness and sensory loss.
  • Clinical examination revealed decreased range of motion, swelling, weakness, and diminished sensation.
  • Radiographic findings indicated severe destructive arthropathy, with no evidence of malignancy or infection.

Findings:

  • Magnetic resonance imaging (MRI) confirmed a patent syringo-peritoneal shunt without syrinx size changes.

Related Experiment Videos

  • The patient was diagnosed with a Charcot shoulder, a joint destruction secondary to neurological impairment.
  • Treatment involved anti-inflammatory medication, passive motion exercises, and a protective sling.

    • Implications:

    • Sensory loss in syringomyelia patients can lead to repetitive trauma and Charcot joint development.
    • Prompt assessment, diagnosis, and tailored treatment are vital for managing Charcot joints.
    • Patient education on activity modification is essential to prevent or slow joint degeneration.