Bilateral neurogenic hip arthropathy. A case report.

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Bilateral neurogenic hip arthropathy. A case report.

Neuro Endocrinol Lett. 2009 Dec 30;30(6)

Authors: Kopec K, Kusz D, Cielinski L, Wojciechowski P, Hajduk G

Neurogenic arthropathy is a rare joint disorder, chracterized by rapid progression and marked destruction of articular surfaces (known as Charcot joint) with only mild to moderate pain. Most cases are related to diabetic neuropathy, but they may complicate the course of other neurogenic clinical conditions such as neurosyphilis (tabes dorsalis), syringomyelia, myelomeningocele, Peroneal Muscular Atrophy, spine or peripheral nerve injury, alcoholism and avitaminosis. Loss of superficial sensation and proprioception plays a pivotal role in development of arthropathy because it affects the joint's normal protective reflexes and leads to joint instability, degeneration and destruction. The authors describe an unusual case of bilateral neurogenic hip arthropathy in a 61-year old women who developed this condition in the course of multilevel lumbar spondylosis with spinal and nerve root compression. The patient underwent a successful bilateral hip replacement and remains almost asymptomatic contrary to literature reports that suggest high risk of complications after the operative treatment of Charcot joints.

PMID: 20038935 [PubMed - as supplied by publisher]

Source : http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=20038935&dopt=Abstract

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