Saturday, March 28, 2009

Neuropathic arthropathy (Charcot's joint)

1. What are the causes of Charcot's joint?
2. What are the clinical symptoms of Charcot's jt?
3. What are the radiologic findings of Charcot's jt?
4. What is the treatment of Charcot's jt?

Answers:
1. Syringomyelia (shoulder), tabes dorsalis from syphilis (knee), and diabetic neuropathy (ankle).
2. Early there are painless swelling, effusion, and joint destruction. Late there is crepitation and destruction of cartilage and bones.
3. Joint destruction with hypertrophic osteophytes, loose bodies, subluxxation, and periarticular debris.
4. Immobilization and restriction of wt bearing.

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