Document Detail

Neuroarthropathy of the wrist in paraplegia: A case report.
MedLine Citation:
PMID:  17044396     Owner:  NLM     Status:  MEDLINE    
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.
Kazuko L Shem
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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:  2013-06-07    
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    
Department of Physical Medicine and Rehabilitation, Santa Clara Valley Medical Center, San Jose, California 95128, USA.
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MeSH Terms
Arthropathy, Neurogenic / diagnosis*,  etiology*,  prevention & control
Paraplegia / complications*
Wrist Joint*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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