Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 5 Issue 12

Charcot Arthropathy of the Upper Extremity in Relation with Multiple Sclerosis or Syringomyelia. A Case Report of Two Rare Cases and Review of the Literature

F Hollman1*, EGJ Thijssen2, CEP Van Munster3, EMJ Cornips4, JJC Arts1,2 and PZ Feczko2

1Department of Orthopaedic Surgery, Maastricht University Medical Center, P. Debyelaan, HX Maastricht, The Netherlands
2Laboratory for Experimental Orthopaedics, Maastricht University, Universiteitssingel, ER, Maastricht, The Netherlands
3Department of Neurology, Amphia, Molengracht, Breda, The Netherlands
4Department of Neurosurgery, Maastricht University Medical Center, P. Debyelaan, HX Maastricht, The Netherlands

*Corresponding Author: F Hollman, Department of Orthopaedic Surgery, Maastricht University Medical Center, P. Debyelaan, HX Maastricht, The Netherlands.

Received: November 03, 2022; Published: November 21, 2022

Abstract

Background: Charcot arthropathy may occur in the upper extremities as a result of syringomyelia or even multiple sclerosis. However, due to late diagnosis, function of the affected joint is often lost. This article shows two cases of patients with Charcot arthropathy of the upper extremities.

Case presentations: The first case describes a Charcot arthropathy of the elbow, thought to be a result of white matter lesions in multiple sclerosis. The second case describes a Charcot arthropathy of the shoulder as a result of syringomyelia. Both cases show the importance of a multidisciplinary approach in the diagnostic process of Charcot arthropathy, in which collaboration between at least an orthopaedic surgeon, neurologist, neurosurgeon and radiologist is recommended.

Discussion and Conclusions: A multidisciplinary approach is essential for the treatment process in Charcot arthropathy. Not only for the completeness, but also for the duration of the diagnostic process. This is of great importance, since - as discussed above - early diagnosis of Charcot arthropathy may prevent further destruction of the affected joint and thus preserve function of the joint. Therefore, it is important to redirect patients to a multidisciplinary health care centre. It is recommended to focus treatment on preservation of joint function in addition to treatment of the underlying neurological cause.

Keywords: Charcot; Shoulder; Elbow; Mutiple Sclerosis; Syringomyelia

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Citation

Citation: F Hollman., et al. “Charcot Arthropathy of the Upper Extremity in Relation with Multiple Sclerosis or Syringomyelia. A Case Report of Two Rare Cases and Review of the Literature”. Acta Scientific Orthopaedics 5.12 (2022): 161-168.

Copyright

Copyright: © 2022 F Hollman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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