Axillary Vein Thrombosis as a Manifestation of Rapidly Progressive Neuropathic Arthropathy of the Shoulder Associated With Syringomyelia

Tristano, Antonio G.; Willson, Mariá L.; Montes de Oca, Ivette
March 2005
Mayo Clinic Proceedings;Mar2005, Vol. 80 Issue 3, p416
Academic Journal
Neuropathic arthropathy is a destructive joint disease associated frequently with loss of proprioception. Syringomyelia (with or without Arnold­Chiari malformation) is characterized by slow progression over many years; the joints Involved most frequently are the shoulders and elbows. Neuropathic arthropathy of the hand is rare, and clinical features are vasomotor problems, digital ulcers, thickening of the fingers, and painless subluxation of the finger Joints. We report an unusual case of neuropathic arthropathy of the shoulder and hands, associated with syringomyelia without Arnold­Chiari malformation. Neuropathic arthropathy of the shoulder was rapidly progressive, and axillary vein thrombosis was the first manifestation; however, neuropathic arthropathy of the hands was unrecognized for 7 years, and painless ulceration of the fingers with spontaneous amputation of the terminal phalanx and Raynaud phenomenon were the Initial manifestations. To our knowledge, this is the first report of a patient with this constellation of findings.


Related Articles

  • Use of a latissimus dorsi flap for treatment of infection in a neuropathic shoulder joint. Meiners, T // Spinal Cord;Aug2003, Vol. 41 Issue 8, p465 

    STUDY DESIGN:: Case report. OBJECTIVES:: To demonstrate the difficulties that can be encountered in diagnosis and treatment of an infected neuropathic shoulder in a paraplegic man. SETTING:: Spinal cord injury center in Germany. METHOD:: Ultimately, radical debridement and transplantation of a...

  • Neuropathic arthropathy progressing with multiple joint involvement in the upper extremity due to syringomyelia and type I Arnold-Chiari malformation. Nacir, Baris; Arslan Cebeci, S.; Cetinkaya, E.; Karagoz, A.; Erdem, H. R. // Rheumatology International;May2010, Vol. 30 Issue 7, p979 

    Neuropathic arthropathy (NA), known as Charcot neuroarthropathy, is a chronic, degenerative arthropathy and is associated with decreased sensory innervation. Numerous causes of this arthropathy have been described. Neuropathic joint, although first described by Charcot in tabes dorsalis in 1868,...

  • Too fit and too fat, both can lead to osteoarthritis.  // Asian Pacific Post;8/19/2010, p5 

    The article discusses research which found that people who are either too thin or too fat could suffer from osteoarthritis.

  • Joint pain and stiffness an indicator of osteoarthritis. Pinette, Gilles // Saskatchewan Sage;Mar2003, Vol. 7 Issue 6, p10 

    Discusses the disease of joints osteoarthritis. Symptoms of osteoarthritis; Causes of the disease; Measures for prevention of the disease; Methods for the treatment of osteoarthritis.

  • Osteoarthritis: Time to shift the paradigm. Dieppe, Paul // BMJ: British Medical Journal (International Edition);05/15/99, Vol. 318 Issue 7194, p1299 

    Provides information on osteoarthritis in Great Britain. Risk factors; Pathological feature of the disease; Changes on the medical approach to the disease.

  • Osteoarthritis I: Epidemiological risk factors and historical considerations. Buchanan, W. Watson; Kean, Walter F. // Inflammopharmacology;2002, Vol. 10 Issue 1/2, p5 

    Presents information on osteoarthritis. Causes of the disease; Risk factor associated with the joint disease; Genetic factors associated with osteoarthritis.

  • Joint Injury in Young Adults and Risk for Subsequent Knee and Hip Osteoarthritis. Gelber, Allan C.; Hochberg, Marc C.; Mead, Lucy A.; Wang, Nae-Yuh; Wigley, Fedrick M.; Klag, Michael J. // Annals of Internal Medicine;9/5/2000, Vol. 133 Issue 5, p321 

    Background: Knee and hip injuries have been linked with osteoarthritis in cross-sectional and case-control studies, but few prospective studies have examined the relation between injuries in young adults and risk for later osteoarthritis. Objective: To prospectively examine the relation between...

  • Want healthy joints? Adderly, Brenda // Better Nutrition;Oct99, Vol. 61 Issue 10, p60 

    Presents ways to prevent joint problems. Prevalence of osteoarthritis, the result of cartilage damage; Role of glucosamine and chondroitin sulfates in maintaining healthy joints; Supplements that enhance the power of glucosamine and chondroitin; Most common joint disorders; Risk of rheumatoid...

  • Osteoarthritis II: Pathology and pathogenesis. Buchanan, W. Watson; Kean, Walter F. // Inflammopharmacology;2002, Vol. 10 Issue 1/2, p23 

    Examines the pathology and pathogenesis of diarthrodial joint. Anatomy and function of diarthrodial joint; Information on the pathological features of osteoarthritis; Analysis of the histological sections that feature osteoarthritis.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics