Department of Physical Medicine and Rehabilitation, University of Saskatchewan, 7th Floor, Saskatoon City Hospital, 701 Queen St, Saskatoon, Saskatchewan, Canada S7K 0M7.
PM R. 2013 Jun;5(6):533-8. doi: 10.1016/j.pmrj.2013.01.010.
Neuropathic arthropathy (NA), also known as Charcot joint, refers to a chronic progressive degenerative arthritis that is associated with an underlying central or peripheral neurologic disorder. The elbow is rarely reported to be involved in NA, but when affected, it is commonly a result of a cervical syrinx or tabes dorsalis. Few reports in the literature describe ulnar neuropathy at the elbow (UNE) associated with NA of the elbow, and none describe bilateral UNE in association with a cervicothoracic syrinx. We present a unique case of bilateral UNE resulting from NA of the elbow associated with a cervicothoracic syrinx.
神经病变性关节炎(NA),又称夏科关节,是一种与中枢或外周神经障碍相关的慢性进行性退行性关节炎。肘部很少有报道涉及到 NA,但当受累时,通常是颈椎空洞症或脊髓痨的结果。文献中很少有报道描述肘部的尺神经病变(UNE)与肘部的 NA 相关,也没有描述与颈胸段空洞症相关的双侧 UNE。我们报告了一例独特的病例,双侧 UNE 是由肘部的 NA 引起的,同时伴有颈胸段空洞症。