Charcot neuroarthropathy of the hand in a diabetic patient after upper extremity trauma

Year 2018, Volume: 4 Issue: 3, 258 - 261, 04.07.2018

Fazıl Kulaklı Canan Çulha Seval Akdemir

https://doi.org/10.18621/eurj.364931

Cited By: 1

Abstract

Charcot neuroarthropathy is a progressive degenerative
arthritis which affects nearly every joint of the body associated with an
underlying central or peripheral neurological disorder and can cause severe
disability. The joints most frequently involved are lower limbs especially
foot, shoulder and elbow. However, Charcot neuroarthropathy of the hand is
quite rare. Herein, we present a 50-year-old
diabetic female patient with
Charcot neuroarthropathy of the right hand after upper extremity trauma. Major
or minor traumas in diabetic patients can increase the risk of Charcot
neuroarthropathy on upper extremity as a complication of diabetes mellitus. 

Keywords

Charcot neuroarthropathy, diabetes mellitus, trauma, hand

References

• [1] Ekim A, Armağan O. Neuropathic arthropathy caused by syringomyelia in different joints and lesion of brachial plexus at right upper extremity: a case report. Ağrı 2007;19:54-8.
• [2] Snoddy MC, Lee DH, Kuhn JE. Charcot shoulder and elbow: a review of the literature and update on treatment. J Shoulder Elbow Surg 2017;26:544-52.
• [3] Frykberg RG, Belczyk R. Epidemiology of the Charcot foot. Clin Podiatr Med Surg 2008;25:17-28.
• [4] Elman MH. Neuropathic joint disease (Charcot joints). In: McCarty DJ, editor. Arthritis and allied conditions. 11th ed. Philadelphia: Lea and Febiger; 1989;1255-72.
• [5] Jones EA, Manaster BJ, May DA, Disler DG. Neuropathic osteoarthropathy: diagnosis and differential diagnosis. Radiographics 2000;20:S279-93.
• [6] Lambert AP, Close CF. Charcot neuroarthropathy of the wrist in type 1 diabetes. Diabetes Care 2005;28:984-5.
• [7] Bayne O, Lu EJ. Diabetic Charcot’s arthropathy of the wrist.Case report and literature review. Clin Orthop Relat Res 1998;357:122-6.
• [8] Young MJ, Marshall A, Adams JE, Selby PL, Boulton AJ. Osteopenia, neurological dysfunction, and the development of Charcot neuroarthropathy. Diabetes Care 1995;18:34-8.
• [9] Çağlayan G, Kılıç E, Özçakar L. Acute charcot arthropathy of the wrist in a diabetic patient. Rheumatol Int 2013;33:2959-60.
• [10] Botek G, Anderson MA, Taylor R. Charcot neuroarthropathy: an often overlooked complication of diabetes. Cleve Clin J Med 2010;77:593-9.