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Case report


Imaging findings in Chiari I malformation with syringomyelia in a case of charcot shoulder

Shantanu KumarVineet SharmaSantosh KumarSonal Jain
Department of Orthopaedic Surgery and Radiodiagnosis, Chhatrapati Shahuji Maharaj Medical University (Erstwhile King George Medical college, KGMC), Lucknow, Uttar Pradesh, India
Date of Submission: 23-Jun-2011, Date of Acceptance: 25-Aug-2011, Date of Web Publication: 21-Sep-2011.
Corresponding Author:
Corresponding Author

Shantanu Kumar

Department of Orthopaedic Surgery, Lucknow, Uttar Pradesh, India
E-mail: kshantanu82@gmail.com

Corresponding Author:
Corresponding Author

Shantanu Kumar

Department of Orthopaedic Surgery, Lucknow, Uttar Pradesh, India
E-mail: kshantanu82@gmail.com

DOI: 10.4103/2156-7514.85173 Facebook Twitter Google Linkedin

ABSTRACT


Neuropathic arthropathy of the shoulder is reported in only 5% of cases. Here, we report a rare case of neuropathic arthropathy of the shoulder, secondary to Chiari malformation Type I with associated syringomyelia, that remained undetected for four years. A 38-year-old female presented to our Department with a swelling over the right shoulder that had persisted for four years. X-ray of the joint showed destruction of the head of the right humerus, with typical blunt amputated appearance of the bone and increased joint space. Magnetic resonance imaging showed destruction and lateral dislocation of the head of the humerus. Large amount of fluid collection was seen in and around the right shoulder joint. Neuropathic osteoarthropathy can be defined as bone and joint changes that occurs secondary to loss of sensation. In our case, neuropathic shoulder joint was secondary to syringomyelia associated with Chiari I malformation.
Keywords: Charcot, Chiari Malformation, Shoulder, Syringomyelia

Cited in 6 Documents

  1. Awad Alai, Chandan G. Reddy, Kimberly K. Amrami and Robert J. Spinner Charcot arthropathy of the shoulder associated with typical and atypical findings Clin. Anat. 26(8) 2013 1017. Doi: 10.1002/ca.22110
  2. Akash K. Shah, David Saper and Andrew B. Stein Chiari Malformation Type 1 with cervicothoracic syrinx presenting as thumb necrosis: A case report Injury Extra 45(8) 2014 62. Doi: 10.1016/j.injury.2014.04.041
  3. Yuan Zhou, Lin Zhu, Yi-Xing Lin and Hui-Lin Cheng Charcot Elbow Joint as the Initial Symptom in Chiari Malformation with Syringomyelia Chinese Medical Journal 128(24) 2015 3381. Doi: 10.4103/0366-6999.171466
  4. Mark C. Snoddy, Donald H. Lee and John E. Kuhn Charcot shoulder and elbow: a review of the literature and update on treatment Journal of Shoulder and Elbow Surgery 26(3) 2017 544. Doi: 10.1016/j.jse.2016.10.015
  5. Xiaofeng Deng, Liang Wu, Chenlong Yang and Yulun Xu Neuropathic arthropathy caused by syringomyelia SPI 18(3) 2013 303. Doi: 10.3171/2012.11.SPINE12860
  6. Xin Wang, Yongning Li, Jun Gao, Tianyu Wang and Zhimin Li Charcot arthropathy of the shoulder joint as a presenting feature of basilar impression with syringomyelia Medicine 97(28) 2018 e11391. Doi: 10.1097/MD.0000000000011391

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