Tags

Type your tag names separated by a space and hit enter

Diabetic neuroarthropathy of the shoulder.
Orthopedics. 2010 Aug 11; 33(8)O

Abstract

Neuroarthropathy of the foot and ankle is a relatively common complication of diabetes mellitus. Likewise, neuroarthropathy of the shoulder has been well reported in relation to syringomyelia. Diabetes mellitus, however, has rarely been reported to cause neuroarthropathy of any joint in the upper extremity and has never previously been reported in the shoulder. This article presents a case of a 77-year-old woman who presented with a secondary complaint of mild right shoulder pain, which had been present since she sustained a proximal humerus fracture four months earlier. The patient's past medical history was notably positive for diabetes mellitus with substantial peripheral neuropathy in the upper and lower extremities. Radiographic examination revealed significant degeneration of the humeral head, consistent with neuroarthropathy of the shoulder. Computed tomography and magnetic resonance imaging demonstrated no syrinx within the spinal cord. The patient's medical history included no etiologies of neuroarthropathy of the shoulder that had been previously reported in the literature. After a thorough literature review, we believe this to be the first case of diabetic shoulder neuroarthropathy to be documented. No significant differences in clinical or radiographic presentations appear to be present between reported etiologies of this pathology, including diabetes mellitus. Consequently, we recommend that diabetes mellitus always be considered as an etiology in the differential diagnosis of neuroarthropathy of the shoulder.

Authors+Show Affiliations

Department of Orthopedic Surgery, Mount Carmel Health System, Columbus, Ohio 43222, USA. mdclaytonmd@gmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20704097

Citation

Clayton, Matthew, et al. "Diabetic Neuroarthropathy of the Shoulder." Orthopedics, vol. 33, no. 8, 2010.
Clayton M, Taylor BC, Backes J. Diabetic neuroarthropathy of the shoulder. Orthopedics. 2010;33(8).
Clayton, M., Taylor, B. C., & Backes, J. (2010). Diabetic neuroarthropathy of the shoulder. Orthopedics, 33(8). https://doi.org/10.3928/01477447-20100625-28
Clayton M, Taylor BC, Backes J. Diabetic Neuroarthropathy of the Shoulder. Orthopedics. 2010 Aug 11;33(8) PubMed PMID: 20704097.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diabetic neuroarthropathy of the shoulder. AU - Clayton,Matthew, AU - Taylor,Benjamin C, AU - Backes,Jeffrey, Y1 - 2010/08/11/ PY - 2010/8/14/entrez PY - 2010/8/14/pubmed PY - 2010/12/17/medline JF - Orthopedics JO - Orthopedics VL - 33 IS - 8 N2 - Neuroarthropathy of the foot and ankle is a relatively common complication of diabetes mellitus. Likewise, neuroarthropathy of the shoulder has been well reported in relation to syringomyelia. Diabetes mellitus, however, has rarely been reported to cause neuroarthropathy of any joint in the upper extremity and has never previously been reported in the shoulder. This article presents a case of a 77-year-old woman who presented with a secondary complaint of mild right shoulder pain, which had been present since she sustained a proximal humerus fracture four months earlier. The patient's past medical history was notably positive for diabetes mellitus with substantial peripheral neuropathy in the upper and lower extremities. Radiographic examination revealed significant degeneration of the humeral head, consistent with neuroarthropathy of the shoulder. Computed tomography and magnetic resonance imaging demonstrated no syrinx within the spinal cord. The patient's medical history included no etiologies of neuroarthropathy of the shoulder that had been previously reported in the literature. After a thorough literature review, we believe this to be the first case of diabetic shoulder neuroarthropathy to be documented. No significant differences in clinical or radiographic presentations appear to be present between reported etiologies of this pathology, including diabetes mellitus. Consequently, we recommend that diabetes mellitus always be considered as an etiology in the differential diagnosis of neuroarthropathy of the shoulder. SN - 1938-2367 UR - https://www.unboundmedicine.com/medline/citation/20704097/Diabetic_neuroarthropathy_of_the_shoulder_ L2 - https://www.healio.com/doiresolver?doi=10.3928/01477447-20100625-28 DB - PRIME DP - Unbound Medicine ER -