Skip to main content
SpringerLink
Log in

Rapidly progressive neuropathic arthropathy of the knee in possible association with a huge extruded cervical intervertebral disc herniation

  • Case Report
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

A 58-year-old woman with an insignificant stage of diabetes mellitus presented with rapidly progressive osteoarthritis of her right knee exhibiting painless but significant antero-posterior and lateral instability. In association, she had a huge extruded left-sided cervical intervertebral disc at the C4–5 level. Neurological examination of the upper limbs was normal but, she had diminished pinprick sensation on the right leg. Radiographic findings were consistent with neuropathic arthropathy of the knee. Anterior decompression with fusion of C4–5 and total knee arthroplasty using a semi-constrained-type artificial implant were performed in one stage. The patient regained nearly normal living activity following surgical intervention. We stress the possibility of rapid progression of knee joint arthropathy, as neuropathic knee, even in a patient with less significant symptoms and signs of cervical myelopathy caused by a huge extruded intervertebral disc.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Johnson JTH (1967) Neuropathic fractures and joint injuries-pathogenesis and rationale of prevention and treatment. J Bone Joint Surg Am 49:1–30

    CAS  PubMed  Google Scholar 

  2. Norman A, Robbins H, Milgram JE (1968) The acute neuropathic arthropathy—a rapid severely disorganizing form of arthritis. Radiology 90:1159–1164

    CAS  PubMed  Google Scholar 

  3. Katz I, Rabinowits JG, Dziachiv R (1961) Early changes in Charcot’s joints. AJR 86:965–974

    CAS  Google Scholar 

  4. Alpert SW, Koval KJ, Zuckerman JD (1996) Neuropathic arthropathy, review of current knowledge. J Am Acad Orthop Surg 4:100–108

    PubMed  Google Scholar 

  5. Dogan BE, Sahin G, Yagmurlu B et al (2003) Neuroarthropathy of the extremities: magnetic resonance imaging features. Curr Probl Diagn Radiol 32:227–232. doi:10.1016/j.cpradiol.2003.08.004

    Article  PubMed  Google Scholar 

  6. Yoshino K, Momohara S, Ikari K et al (2006) Acute destruction of the hip joints and rapid resorption of femoral head in patients with rheumatoid arthritis. Mod Rheumatol 16:395–400. doi:10.1007/s10165-006-0516-0

    Article  PubMed  Google Scholar 

  7. Soundry M, Binazzi R, Johanson NA et al (1985) Total knee arthroplasty in Charcot and Charcot-like knee joint. Clin Orthop Relat Res 208:199–204

    Google Scholar 

  8. Yoshino S, Fujimori J, Kajino A et al (1993) Total knee arthroplasty in Charcot’s joint. J Arthroplasty 8:335–340. doi:10.1016/S0883-5403(06)80098-7

    Article  CAS  PubMed  Google Scholar 

  9. Kim YH, Kim JS, Oh SW (2002) Total knee arthroplasty in neuropathic arthropathy. J Bone Joint Surg Br 84:216–219. doi:10.1302/0301-620X.84B2.12312

    Article  CAS  PubMed  Google Scholar 

  10. Parvizi J, Marrs J, Morrey BF (2003) Total knee arthroplasty for neuropathic (Charcot) joints. Clin Orthop Relat Res 416:145–150. doi:10.1097/01.blo.0000081937.75404.ed

    Article  PubMed  Google Scholar 

Download references

Conflict of interest statement

No author has any financial ties to the commercial parties.

Author information

Authors and Affiliations

  1. Department of Orthopaedics and Rehabilitation Medicine, University of Fukui Faculty of Medical Sciences, Shimoaizuki 23, Eiheiji Matsuoka, Fukui, 910-1193, Japan

    Hideaki Nakajima, Kenzo Uchida, Hisashi Oki, Takafumi Yayama, Yasuo Kokubo, Ryuichiro Sato, Shigeru Kobayashi & Hisatoshi Baba

  2. Department of Orthopaedic Surgery, Makerere University Medical School, P.O. Box 7062, Kampala, Republic of Uganda

    Erisa Mwaka & Norbert Orwotho

Authors
  1. Hideaki Nakajima
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kenzo Uchida
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hisashi Oki
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Takafumi Yayama
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Erisa Mwaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yasuo Kokubo
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Ryuichiro Sato
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Shigeru Kobayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Norbert Orwotho
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Hisatoshi Baba
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hideaki Nakajima.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nakajima, H., Uchida, K., Oki, H. et al. Rapidly progressive neuropathic arthropathy of the knee in possible association with a huge extruded cervical intervertebral disc herniation. Rheumatol Int 30, 811–815 (2010). https://doi.org/10.1007/s00296-009-0999-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-009-0999-z

Keywords

Search

Navigation