Charcot Foot Arthropathy Secondary to Holocord Syringomyelia in a Skeletally
Immature Patient - A Case Report
Salar Sobhi1,2*, Sheldon Moniz2, Jordan Korol2 and Richard
Carey-Smith2*
1Department of Medicine, Fiona Stanley Hospital, 11 Robin Warren Dr, Murdoch, WA, Australia
2Department of Orthopaedic Surgery, Perth Children’s Hospital, 15 Hospital Ave, Nedlands, WA, Australia
*Corresponding Author: Salar Sobhi, Department of Medicine, Fiona Stanley
Hospital, 11 Robin Warren Dr, Murdoch, WA, Australia.
Received:
August 29, 2022; Published: October 17, 2022
Abstract
Charcot arthropathy, is progressive and destructive process of articular surfaces secondary to impaired nociception and proprioception of the involved joint, commonly seen in adults a long-standing history of diabetes mellitus. We report a case of a 4-year-old girl who presented to the Emergency Department complaining of right heel pain and antalgic gait. Physical examination was unremarkable, but an MRI of the right foot revealed a lytic and destructive process of the right calcaneus with associated fluid tracking. Given the absence of any biochemical evidence to favour infection, a full-body MRI subsequently revealed an Arnold-Chiari type I malformation with extensive holocord syringomyelia of the cervical and thoracic spine.
Keywords: Charcot Arthropathy; Holocord Syringomyelia; Diagnosis
References
- Choudhury P., et al. “Neuropathic arthropathy of the shoulder joint caused by syringomyelia: report of a rare case”. BMJ Case Reports3 (2019).
- Ekim A and Armağan O. “Neuropathic arthropathy caused by syringomyelia in different joints and lesion of brachial plexus at right upper extremity: a case report”. Agriculture3 (2007): 54-58.
- Sahoo SK and Salunke P. “Charcot arthropathy of the elbow joint as a presenting feature of Chiari malformation with syringomyelia”. British Journal of Neurosurgery6 (2014): 811-812.
- Wawrzyniak A., et al. “Shoulder arthropathy secondary to syringomyelia: case series of 10 patients”. European Journal of Orthopaedic Surgery and Traumatology (2021): 1-7.
- Wang X., et al. “Charcot arthropathy of the shoulder joint as a presenting feature of basilar impression with syringomyelia: A case report and literature review”. Medicine 28 (2018).
- Frykberg RG., et al. “Diabetic foot disorders: a clinical practice guideline (2006 revision)”. The Journal of Foot and Ankle Surgery5 (2006): S1-S66.
- Soysal N., et al. “Differential diagnosis of Charcot arthropathy and osteomyelitis”. Neuroendocrinology Letters5 (2007): 556-559.
- Milne TE., et al. “Developing an evidence-based clinical pathway for the assessment, diagnosis and management of acute Charcot Neuro-Arthropathy: a systematic review”. Journal of Foot and Ankle Research1 (2013): 1-12.
- Frykberg RG and Belczyk R. “Epidemiology of the Charcot foot”. Clinics in Podiatric Medicine and Surgery1 (2008): 17-28.
- Kaynak G., et al. “An overview of the Charcot foot pathophysiology”. Diabetic Foot and Ankle 1 (2013): 21117.
- Pinzur MS. “Current concepts review: Charcot arthropathy of the foot and ankle”. Foot and Ankle International8 (2007): 952-959.
- Coughlin MJ., et al. “Surgery of the foot and ankle”. Mosby St. Louis; (1999).
- Trepman E., et al. “Current topics review: Charcot neuroarthropathy of the foot and ankle” (2005).
- Weatherford B. “Diabetic (Charcot) Foot”. American Academy of Orthopaedic Surgeons; (2017).
- Wukich DK and Sung W. “Charcot arthropathy of the foot and ankle: modern concepts and management review”. Journal of Diabetes Complications6 (2009): 409-26.
- Al-Shatoury HAH. “eMedicine Specialties> Neurology> Movement and Neurodegenerative Diseases”.
- Oldfield EH., et al. “Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils: implications for diagnosis and treatment”. Journal of Neurosurgery1 (1994): 3-15.
- Williams B. “On the pathogenesis of syringomyelia: a review”. Journal of the Royal Society of Medicine11 (1980): 798-806.
- Gardner WJ. “Hydrodynamic mechanism of syringomyelia: its relationship to myelocele”. Journal of Neurology, Neurosurgery, and Psychiatry3 (1965): 247.
- Nambiar M., et al. “Neuropathic arthropathy of the shoulder joint secondary to a syringomyelia”. BMJ Case Report1 (2018).
- Memarpour R., et al. “Syringomyelia with Chiari I malformation presenting as hip charcot arthropathy: a case report and literature review”. Case Reports in Neurological Medicine 2015 (2015).
- Deng X., et al. “Neuropathic arthropathy caused by syringomyelia”. Journal of Neurosurgery: Spine 3 (2013): 303-309.
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