Santiesteban Lauren, Mollon Brent, Zuckerman Joseph D
Bull Hosp Jt Dis (2013). 2018 Jun;76(2):88-99.
Neuropathic arthropathy, also known as Charcot arthropathy, is a degenerative disorder most commonly characterized by rapid destruction of the joint with extensive involvement of the bone and soft tissue. The underlying pathophysiology is thought to be due to loss of nociception (pain sensation), most frequently caused by diabetes mellitus, syphilitic myelopathy, or syringomyelia. A neuropathic shoulder is rare, with historic case series forming the bulk of the literature. The purpose of this review is to better understand the pathogenesis, clinical presentation, and management of neuropathic arthropathy of the glenohumeral joint. It should be stressed that the identification and management of the underlying etiology is paramount if the disease process is to be positively impacted. Although the mainstay of orthopedic management is non-surgical, little evidence exists to support the use of any specific therapeutic intervention. Recent literature suggests surgical reconstruction may be considered in very select patients.
神经性关节病，也称为夏科氏关节病，是一种退行性疾病，最常见的特征是关节迅速破坏，并伴有骨骼和软组织的广泛受累。其潜在的病理生理学被认为是由于伤害感受（痛觉）丧失，最常见的原因是糖尿病、梅毒性脊髓病或脊髓空洞症。神经性肩关节很少见，历史病例系列构成了文献的大部分内容。本综述的目的是更好地了解盂肱关节神经性关节病的发病机制、临床表现和治疗。需要强调的是，如果要对疾病进程产生积极影响，识别和处理潜在病因至关重要。尽管骨科治疗的主要方法是非手术治疗，但几乎没有证据支持使用任何特定的治疗干预措施。最近的文献表明，在非常特定的患者中可以考虑手术重建。
