Charcot arthropathy of the shoulder associated with typical and atypical findings

Awad Alai, Chandan G. Reddy, Kimberly K. Amrami, Robert J. Spinner

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

We present a patient with a relatively rare condition: Charcot joint of the shoulder, with a rare complication, the first known example of combined neurovascular compression in this location. A 49-year-old man presented with neuropathic arthropathy of the shoulder caused by syringomyelia from a Chiari I malformation, leading to compression of both the brachial plexus and the axillary vein by mass effect from the synovitis. The brachial plexopathy resolved with surgical decompression and synovectomy, and the syringomyelia stabilized after Chiari decompression. A large acromioclavicular joint synovial cyst developed as a late complication, which was treated nonoperatively. Understanding neuropathic arthropathy can explain the spectrum of interrelated typical and atypical features in this case over long-term follow-up.

Original languageEnglish (US)
Pages (from-to)1017-1023
Number of pages7
JournalClinical Anatomy
Volume26
Issue number8
DOIs
StatePublished - Nov 1 2013

Keywords

  • Charcot joint
  • Chiari
  • arthropathy
  • axillary vein
  • brachial plexus
  • syrinx

ASJC Scopus subject areas

  • Anatomy
  • Histology

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    Alai, A., Reddy, C. G., Amrami, K. K., & Spinner, R. J. (2013). Charcot arthropathy of the shoulder associated with typical and atypical findings. Clinical Anatomy, 26(8), 1017-1023. https://doi.org/10.1002/ca.22110