Charcot Arthropathy of the Shoulder
synonyms: neuropathic shoulder, Charcot shoulder
Charcot Shoulder ICD-9
- 336.0 (other diseases of spinal cord, syringomyelia and syringbulbia
- 713.5 (arthropathy associated with neurologic disorders
- 716.81 (unspecified arthropathy, shoulder region)
Charcot Shoulder Etiology / Epidemiology / Natural History
- Rare rapid destruction of the proximal humerus and glenoid related to neuropathic disease.
- Associated with syringomyelia, alcholic neuropathy, syphilis and postoperative neuropathy.
Charcot Shoulder Anatomy
Charcot Shoulder Clinical Evaluation
- Presents with swelling pain and stiffness.
- May present with dislocated shoulder.
- Generally decreased active and passive ROM.
- Neurovascular exam indicated, often sensory and motor changes noted with asymmetric upper extremity reflexes.
Charcot Shoulder Xray / Diagnositc Tests
- AP, scapular lateral and axillary views. Most common finding is resorption of the humeral head. May have glenoid resorption or shoulder dislocation. Look for pathologic fracture.
- MRI of cervical spinal helpful to evaluate for cystic lesions or syrinx
Charcot Shoulder Classification / Treatment
Charcot Shoulder Associated Injuries / Differential Diagnosis
- Glenohumeral arthritis
- Septic arthritis
Charcot Shoulder Complications
Charcot Shoulder Follow-up Care
Charcot Shoulder Review References
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