Cases reported "Arthropathy, Neurogenic"

Filter by keywords:



Filtering documents. Please wait...

1/5. Charcot osteoarthropathy in a case of klippel-trenaunay-weber syndrome.

    A case of a patient with klippel-trenaunay-weber syndrome (KTW) with Charcot osteoarthropathy is presented. A medline literature review was performed using the words Klippel-Trenaunay, orthopaedic, ankle, foot, and Charcot joint. Seven articles reported orthopaedic manifestations of KTW. They included limb hypertrophy and atrophy, limb-length discrepancies, digital anomalies, ulcerations, and spine and hip abnormalities, but no mention of Charcot osteoarthropathy. After many years of chronic nonhealing ulcers and repeated incision and drainage procedures the patient developed Charcot osteoarthropathy of the ankle without evidence of osteomyelitis or peripheral neuropathy but with severe deformity that required transtibial amputation.
- - - - - - - - - -
ranking = 1
keywords = tibia
(Clic here for more details about this article)

2/5. Charcot arthropathy of the first metatarsophalangeal joint.

    The authors present an unusual case study of a Charcot joint of the first metatarsophalangeal articulation as well as a successful tibial sesamoidectomy for an associated chronic ulceration. Serial radiographs document the destructive disease process. The authors also address the etiologies of peripheral neuropathy, diagnostic tests to differentiate between Charcot joint and osteomyelitis, and both conservative and surgical management of Charcot joints.
- - - - - - - - - -
ranking = 1
keywords = tibia
(Clic here for more details about this article)

3/5. mycobacterium avium-intracellulare infection of the knee joint. Case report.

    A 57-year-old white male with a history of scleroderma developed an osteoarticular infection of the right knee caused by Mycobacterium avium-intracellulare. The patient underwent arthroscopic synovectomy and was started on appropriate combination chemotherapy. The patient failed to improve clinically and developed osteomyelitis of the patella, distal femur, and proximal tibia. The patient refused further surgical intervention and subsequently developed a "Charcot-like" knee joint. This case report documents the failure of medical treatment alone for this infection, which must be combined with aggressive surgical intervention.
- - - - - - - - - -
ranking = 1
keywords = tibia
(Clic here for more details about this article)

4/5. Totally implanted direct current stimulator as treatment for a nonunion in the foot.

    Nonunions and delayed unions are postoperative complications with which the podiatric surgeon must be concerned. Although the incidence is infrequent, their treatment methods vary, and can range from bone grafting to internal and external fixation of fragments, arthrodesis, and/or the use of indirect and direct bone stimulation. This manuscript details a case of a nonunion of the first metatarsal cuneiform joint 8 months after attempted Lisfranc's joint fusion for Charcot arthropathy of the midfoot. The nonunion was treated with bone grafting, internal fixation, and the use of an implanted direct current bone stimulator. Although implanted bone stimulators are commonly used for the treatment of failed unions of the posterior spine, tibia, and humerus, to date, the authors submit this is the first reported case of implementing a totally implanted direct current stimulator for treatment of a nonunion in the foot.
- - - - - - - - - -
ranking = 1
keywords = tibia
(Clic here for more details about this article)

5/5. Total knee arthroplasty in Charcot's joint.

    The authors report three cases with neuropathic (Charcot) knee joint due to tabes dorsalis in which total knee arthroplasty (TKA) was performed. Three cases (5 joints) were observed for more than 8 years after TKA. No ataxia was seen before or after surgery. The postoperative clinical course had been satisfactory in two cases (3 joints) for 9-10 years after TKA with no evidence of loosening. Although the other case had medial condylar fracture of the right upper tibia during postoperative treatment, the clinical course of the right knee had been satisfactory over the 7 years since revision arthroplasty using a tibial component with a long stem. This case also had loosening of the left tibial component 8 years after TKA. Total knee arthroplasty appears to be useful for the treatment of Charcot's joint with no ataxia at Eichenholtz' stage of coalescence and reconstruction if (1) proper surgical techniques to establish good ligamentous balancing and bony alignment by releasing ligaments are employed; (2) an adequate amount of bone is resected and remaining bony defects are reinforced with bone graft; (3) long-stem components are used on both the femoral and tibial sides.
- - - - - - - - - -
ranking = 4
keywords = tibia
(Clic here for more details about this article)


Leave a message about 'Arthropathy, Neurogenic'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.