Kocyigit Burhan Fatih, Kızıldağ Betül
Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey.
Department of Radiology, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey.
Rheumatol Int. 2023 Apr;43(4):777-790. doi: 10.1007/s00296-022-05234-w. Epub 2022 Oct 22.
Neuropathic arthropathy (NA) is a long-term progressive disorder that causes joint destruction in the existence of a neurologic deficit. Minor injuries and fractures are commonly overlooked until the visible joint deterioration becomes persistent. Syringomyelia is one of the important causes of NA. The appearance of clinical signs in syringomyelia is caused by longitudinal cysts formed in the cervical and cervicothoracic regions of the spinal cord. Depending on the existence of the underlying disorder, the number and localization of the syrinxes, a range of symptoms, involving pain, sensation deficit, loss of motor function, and deep tendon reflex abnormality, emerge. The case is here described of a 68-year-old female patient with shoulder NA following syringomyelia, who partially responded to the rehabilitation program. Furthermore, the available case reports were comprehensively reviewed on Web of Science, Scopus, and PubMed/Medline. Furthermore, the available case reports were comprehensively evaluated on Web of Science, Scopus, and PubMed/Medline. Thus, we aimed to present the demographic characteristics, symptoms, physical examination signs, treatment, and follow-up parameters of syringomyelia-related shoulder NA cases.
神经性关节病(NA)是一种长期进展性疾病,在存在神经功能缺损的情况下导致关节破坏。轻微损伤和骨折通常被忽视,直到明显的关节恶化持续存在。脊髓空洞症是NA的重要病因之一。脊髓空洞症临床症状的出现是由脊髓颈段和颈胸段形成的纵向囊肿引起的。根据潜在疾病的存在、空洞的数量和位置,会出现一系列症状,包括疼痛、感觉障碍、运动功能丧失和深腱反射异常。本文描述了一名68岁患有脊髓空洞症后肩部NA的女性患者,她对康复计划有部分反应。此外,还在科学网、Scopus和PubMed/Medline上全面检索了现有的病例报告。因此,我们旨在呈现脊髓空洞症相关肩部NA病例的人口统计学特征、症状、体格检查体征、治疗及随访参数。