Charcot joint in a case of syringomyelia with spinal dysraphism

CT of the chest was done, which was suggestive of a large, thick-walled peripherally enhancing collection in the region of the right shoulder joint and right anterior and lateral chest wall with multiple osseous fragments/loose bodies within and multiple air foci (figure 2). Coronal CT of the right...

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Bibliographic Details
Published in:BMJ case reports 2021-05, Vol.14 (5), p.e239497
Main Authors: Sankhe, Ashwini, Shah, Ankita, Deshpande, Sneha, Kshirsagar, Radhika
Format: Article
Language:English
Subjects:
Arthropathy, Neurogenic - diagnostic imaging
Arthropathy, Neurogenic - etiology
Case reports
Humans
Images In
Neural Tube Defects
Rotator cuff
Spina bifida
Spinal cord
Spinal Dysraphism - complications
Spinal Dysraphism - diagnostic imaging
Syringomyelia - complications
Syringomyelia - diagnostic imaging
Tendons
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Summary:CT of the chest was done, which was suggestive of a large, thick-walled peripherally enhancing collection in the region of the right shoulder joint and right anterior and lateral chest wall with multiple osseous fragments/loose bodies within and multiple air foci (figure 2). Coronal CT of the right shoulder in soft tissue window (A) and bone window (B) shows a peripherally enhancing collection in the right shoulder joint with loss of joint morphology and multiple osseous fragments (black arrow in A and B) within with few air foci (white arrow in A). Location of the bony and joint findings, age of the patient and clinical history may provide clues to the underlying disease.1 The six Ds of neuropathic joint include distension of joint, increased density, debris, destruction of articular surface, dislocation and disorganisation of joint.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2020-239497