title: Imaging findings in Chiari I malformation with syringomyelia in a case of charcot shoulder.
abstract: Neuropathic arthropathy of the shoulder is reported in only 5% of cases. Here, we report a rare case of neuropathic arthropathy of the shoulder, secondary to Chiari malformation Type I with associated syringomyelia, that remained undetected for four years. A 38-year-old female presented to our Department with a swelling over the right shoulder that had persisted for four years. X-ray of the joint showed destruction of the head of the right humerus, with typical blunt amputated appearance of the bone and increased joint space. Magnetic resonance imaging showed destruction and lateral dislocation of the head of the humerus. Large amount of fluid collection was seen in and around the right shoulder joint. Neuropathic osteoarthropathy can be defined as bone and joint changes that occurs secondary to loss of sensation. In our case, neuropathic shoulder joint was secondary to syringomyelia associated with Chiari I malformation.
authors: Department of Orthopaedic Surgery, Chhatrapati Shahuji Maharaj Medical University (Erstwhile King George Medical college, KGMC), Lucknow, Uttar Pradesh, India.
authors: Shantanu
authors: S
authors: Kumar
authors: Vineet
authors: V
authors: Sharma
authors: Santosh
authors: S
authors: Kumar
authors: Sonal
authors: S
authors: Jain