title: Bilateral neurogenic hip arthropathy. A case report.
abstract: Neurogenic arthropathy is a rare joint disorder, characterized by rapid progression and marked destruction of articular surfaces (known as Charcot's 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's joints.
authors.affiliation: Department of Orthopaedics and Traumatolgy, Medical University of Silesia, Katowice, Poland.
authors.forename: Konrad
authors.initials: K
authors.lastname: Kopec
authors.forename: Damian
authors.initials: D
authors.lastname: Kusz
authors.forename: Lukasz
authors.initials: L
authors.lastname: Cielinski
authors.forename: Piotr
authors.initials: P
authors.lastname: Wojciechowski
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Hajduk
mesh_terms: D001177:Arthropathy, Neurogenic / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000000981:diagnostic imaging; D008875:Middle Aged; D011843:Radiculopathy / Q000150:complications / Q000000981:diagnostic imaging; D055009:Spondylosis / Q000150:complications / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed