Neuropathic Glenohumeral Joint Resorption

Area of Science:

• Orthopedics
• Physical Therapy
• Radiology

Background:

• A patient underwent total knee arthroplasty (TKA).
• Post-operative evaluation by a physical therapist was initiated 3 days after surgery.
• Radiographs were ordered following the physical therapy evaluation.

Observation:

• The patient presented with unexpected radiographic findings.
• Radiographs indicated a chronic neuropathic joint.
• Complete resorption of the humeral head was observed.
• Heterotopic ossification was present at the scapula.

Findings:

• The radiographic findings were incidental to the TKA.
• The neuropathic joint, humeral head resorption, and scapular heterotopic ossification represent significant orthopedic conditions.
• These findings suggest a complex underlying pathology beyond the TKA itself.

Implications:

• Highlights the importance of thorough radiographic review in post-operative patients.
• Suggests the need for further investigation into the cause of the neuropathic joint and associated bone changes.
• Underscores the role of physical therapists in identifying potential complications or comorbidities requiring medical attention.