Charcot neuroarthropathy of the knee due to idiopathic sensory peripheral neuropathy

Qian Hao Yang, Peichun Hsu, You Shui Gao, Chang Qing Zhang

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Charcot neuroarthropathy is a systemic disease that generates pathological changes in the musculoskeletal system, causing instability, dislocations, and deformities. Charcot neuroarthropathy of the knee, due to either diabetes mellitus or syringomyelia, is anecdotally reported with the epidemic of the diseases. However, idiopathic sensory peripheral neuropathy can inflict osteoarticular structures directly, inducing a dysfunctional Charcot neuroarthropathy. An early diagnosis and effective relief of the symptomatic deformity is essential for the treatment. CASE PRESENTATION: We report the case of a patient with idiopathic sensory peripheral neuropathy who presented with a swelling right knee, as well as distorted and painless gait disorder, diagnosed as Charcot neuroarthropathy of the knee. Partial weight bearing with a hinged knee brace was used to correct the abnormal alignment and gait posture, and bisphosphonates were prescribed to decrease pathological bone resorption. Although the alignment and Knee Society Score got a gradual deterioration, the combination of orthosis and pharmacy could alleviate the symptom to a certain extent. CONCLUSION: The diagnosis of Charcot neuroarthropathy of the knee is rare that requiring early diagnosis. The presence of features, including painlessness, numbness, and deformed arthropathy following chronic-onset algesthesia loss should be taken carefully.

Original languageEnglish
Number of pages1
JournalBMC Musculoskeletal Disorders
Volume20
Issue number1
DOIs
Publication statusPublished - 30 Oct 2019

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Peripheral Nervous System Diseases
Knee
Gait
Early Diagnosis
Syringomyelia
Orthotic Devices
Musculoskeletal System
Braces
Hypesthesia
Joint Diseases
Diphosphonates
Weight-Bearing
Bone Resorption
Posture
Diabetes Mellitus

Cite this

Yang, Qian Hao ; Hsu, Peichun ; Gao, You Shui ; Zhang, Chang Qing. / Charcot neuroarthropathy of the knee due to idiopathic sensory peripheral neuropathy. In: BMC Musculoskeletal Disorders. 2019 ; Vol. 20, No. 1.
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Charcot neuroarthropathy of the knee due to idiopathic sensory peripheral neuropathy. / Yang, Qian Hao; Hsu, Peichun; Gao, You Shui; Zhang, Chang Qing.

In: BMC Musculoskeletal Disorders, Vol. 20, No. 1, 30.10.2019.

Research output: Contribution to journalArticle

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AB - BACKGROUND: Charcot neuroarthropathy is a systemic disease that generates pathological changes in the musculoskeletal system, causing instability, dislocations, and deformities. Charcot neuroarthropathy of the knee, due to either diabetes mellitus or syringomyelia, is anecdotally reported with the epidemic of the diseases. However, idiopathic sensory peripheral neuropathy can inflict osteoarticular structures directly, inducing a dysfunctional Charcot neuroarthropathy. An early diagnosis and effective relief of the symptomatic deformity is essential for the treatment. CASE PRESENTATION: We report the case of a patient with idiopathic sensory peripheral neuropathy who presented with a swelling right knee, as well as distorted and painless gait disorder, diagnosed as Charcot neuroarthropathy of the knee. Partial weight bearing with a hinged knee brace was used to correct the abnormal alignment and gait posture, and bisphosphonates were prescribed to decrease pathological bone resorption. Although the alignment and Knee Society Score got a gradual deterioration, the combination of orthosis and pharmacy could alleviate the symptom to a certain extent. CONCLUSION: The diagnosis of Charcot neuroarthropathy of the knee is rare that requiring early diagnosis. The presence of features, including painlessness, numbness, and deformed arthropathy following chronic-onset algesthesia loss should be taken carefully.

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