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Neuropathic arthropathy of the shoulder secondary to operated syringomyelia: a case-based review

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Abstract

Neuropathic arthropathy (NA) is a long-term progressive disorder that causes joint destruction in the existence of a neurologic deficit. Minor injuries and fractures are commonly overlooked until the visible joint deterioration becomes persistent. Syringomyelia is one of the important causes of NA. The appearance of clinical signs in syringomyelia is caused by longitudinal cysts formed in the cervical and cervicothoracic regions of the spinal cord. Depending on the existence of the underlying disorder, the number and localization of the syrinxes, a range of symptoms, involving pain, sensation deficit, loss of motor function, and deep tendon reflex abnormality, emerge. The case is here described of a 68-year-old female patient with shoulder NA following syringomyelia, who partially responded to the rehabilitation program. Furthermore, the available case reports were comprehensively reviewed on Web of Science, Scopus, and PubMed/Medline. Furthermore, the available case reports were comprehensively evaluated on Web of Science, Scopus, and PubMed/Medline. Thus, we aimed to present the demographic characteristics, symptoms, physical examination signs, treatment, and follow-up parameters of syringomyelia-related shoulder NA cases.

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  1. Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey

    Burhan Fatih Kocyigit

  2. Department of Radiology, Faculty of Medicine, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey

    Betül Kızıldağ

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BFK and BK designed the study. BFK and BK reviewed the literature and collected the data. BFK analyzed the data. BFK and BK interpreted the data analyses. BFK and BK drafted the study and reviewed it critically for important intellectual content. BFK and BK prepared tables and figures. BFK and BK approved the final version of the manuscript and agree to be accountable for all aspects of the work.

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Kocyigit, B.F., Kızıldağ, B. Neuropathic arthropathy of the shoulder secondary to operated syringomyelia: a case-based review. Rheumatol Int 43, 777–790 (2023). https://doi.org/10.1007/s00296-022-05234-w

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