Neuropathic arthropathy

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Neuropathic arthropathy

  1. 1. Neuropathic arthropathy Charcot joints Dr / Hytham Nafady
  2. 2. Beyond the classic Ds • • • • Destruction. Dislocation. New bone formation. Debris.
  3. 3. Neuropathic osteoarthropathy • represents a spectrum of bone and joint destructive processes associated with neurosensory deficit.
  4. 4. Etiology • Loss of proprioceptive sensation. Spinal cord Syringomyelia. Syphilis (tabes dorsalis). Spinal cord tumors. Myelomeningocele. Cord compression. MS. Peripheral nerves Diabetes. Leprosy. Peripheral nerve tumors.
  5. 5. Radiological patterns
  6. 6. Hypertrophic pattern • • • • • • Joint destruction. Fragmentation. Osseous sclerosis. Dislocation. Joint effusion. Debris.
  7. 7. Atrophic pattern • Osseous resorption (that resembles surgical amputation). • Joint dislocation. • Joint debris.
  8. 8. Shoulder neuropathic arthropathy
  9. 9. Destruction Dislocation Debris
  10. 10. Debris Debris
  11. 11. Destruction Dislocation Debris
  12. 12. Spine neuropathic arthropathy
  13. 13. DD (Spondylodiscitis) Neuropathic arthropathy Spondylodiscitis Destruction involves the three vertebral columns including the facet joints. Destruction of the anterior vertebral column only. Sclerosis & destruction involve the whole vertebral body. Sclerosis & destruction is limited to the vertebral end plates. Paraspinal soft tissue debris. Paraspinal soft tissue calcification (only with granulomatous infection)
  14. 14. Foot neuropathic arthropathy
  15. 15. Lisfrank fracture dislocation
  16. 16. Divergent Lisfrank fracture dislocation Homolateral Lisfrank fracture dislocation
  17. 17. Hand neuropathic arthropathy
  18. 18. Knee neuropathic arthropathy

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