[Arthropathy of the shoulder joint in syringomyelia]

Based on 4 long time observations of syringomyelitic arthropathy and the literature, the clinical and roentgenological picture, the differential diagnosis, the course and the limited chances of treatment are discussed. As to diagnosis initial shoulder pain, pseudophlegmoneous swelling of the shoulder, rupture of the long tendon of the biceps muscle and bone appositions at the medialcaudal portion of the humeral neck-head area and at the lower margin of the acetabulum are emphasized as well as small destructions of the greater tubercle, prior to extensive bone resorption. As to therapy a reserved indication towards synovectomy and refixation of the long biceps tendon is recommended, especially towards bigger interventions. Following decrease of inflammatory processes, on the other hand, guided exercises for support of functional adaptation of the destroyed joint elements are favoured.