| Neuroarthropathy of the wrist in paraplegia: A case report. | |
| | |
MedLine Citation:
|
PMID: 17044396 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND/OBJECTIVE: Neuroarthropathy, also known as Charcot joint, is most commonly seen in the spine and other weight-bearing joints in individuals with spinal cord injury (SCI). It is rarely seen in the joints of the upper extremities because the pathophysiology of the neuroarthropathy is thought to be significant repetitive trauma such as with weight bearing in an insensate joint. METHODS: Case report of neuroarthropathy in the wrist of a 46-year-old man with a 30-year history of T4 paraplegia caused by ependymoma. RESULTS: The patient recently developed a nonpainful swelling in the left wrist, which had decreased sensation since the time of his initial SCI. Radiological evaluation showed marked degenerative changes consistent with neuroarthropathy. A magnetic resonance image of the spine showed spinal cord atrophy at the cervicothoracic junction. CONCLUSIONS: This case shows an unusual presentation of a neuroarthropathy in a wrist in an individual with functional paraplegia. Because the treatment options for neuroarthropathy in the upper extremity in individuals with SCI are limited, early diagnosis is crucial to implement conservative management before significant destruction of the joint occurs. |
| | |
Authors:
|
Kazuko L Shem |
Related Documents
:
|
14673376 - Late spinal cord compression caused by pulled-out thoracic pedicle screws: a case report. 12583476 - Acute paraplegia following viper bite. 10328186 - Isolated periarteritis nodosa of the spermatic cord presenting as a scrotal mass: repor... 15854266 - Spontaneous spinal epidural hematoma during pregnancy: case report and literature review. 8267366 - Familial behçet's syndrome with intestinal involvement--case reports and a review of t... 18830546 - Cleft deformities in singapore: a population-based series 1993-2002. |
Publication Detail:
|
Type: Case Reports; Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
|
Title: The journal of spinal cord medicine Volume: 29 ISSN: 1079-0268 ISO Abbreviation: J Spinal Cord Med Publication Date: 2006 |
Date Detail:
|
Created Date: 2006-10-18 Completed Date: 2006-12-07 Revised Date: 2010-09-15 |
Medline Journal Info:
|
Nlm Unique ID: 9504452 Medline TA: J Spinal Cord Med Country: United States |
Other Details:
|
Languages: eng Pagination: 436-9 Citation Subset: IM |
Affiliation:
|
Department of Physical Medicine and Rehabilitation, Santa Clara Valley Medical Center, San Jose, California 95128, USA. kazuko.shem@hhs.sccgov.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Arthropathy, Neurogenic / diagnosis*, etiology*, prevention & control Humans Male Paraplegia / complications* Wrist Joint* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bilateral L5 radiculopathy due to osteoporotic L1 vertebral fracture: A case report.
Next Document: Segmentation of VOI from multidimensional dynamic PET images by integrating spatial and temporal fea...