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Bilateral neurogenic hip arthropathy. A case report
Konrad Kopec1, Damian Kusz, Lukasz Cielinski
1Department of Orthopaedics and Traumatolgy, Medical University of Silesia, Katowice, Poland.
Neuro Endocrinology Letters
|December 30, 2009
Summary
Neurogenic arthropathy, or Charcot's joint, is a rare condition causing rapid joint destruction. This case highlights successful hip replacement in a patient with multilevel lumbar spondylosis, challenging typical complication risks.
Area of Science:
- Orthopedics
- Neurology
- Rheumatology
Background:
- Neurogenic arthropathy (Charcot's joint) is a rare condition characterized by rapid joint destruction with minimal pain.
- It is most commonly associated with diabetic neuropathy but can arise from various neurogenic conditions.
- Loss of sensation and proprioception compromises joint reflexes, leading to instability and degeneration.
Observation:
- A 61-year-old woman presented with bilateral neurogenic hip arthropathy.
- Her condition developed secondary to multilevel lumbar spondylosis causing spinal and nerve root compression.
- This presentation is unusual, differing from typical causes like diabetic neuropathy.
Findings:
- The patient underwent successful bilateral hip replacement surgery.
- Post-operatively, she experienced minimal symptoms, contrasting with literature suggesting high complication rates.
- This outcome challenges expectations for surgical treatment of Charcot's joints.
Implications:
- Successful surgical outcomes are possible for neurogenic hip arthropathy even in complex cases.
- This case suggests that spinal pathology should be considered as a potential cause.
- Further research may refine surgical risk assessments for Charcot's joint patients.