주관절에 발생한 신경병성 관절병증

• Published in: The journal of the Korean Orthopaedic Association Vol. 43; no. 6; pp. 677 - 684
• Main Authors: 김지영(Ji Yeong Kim), 정문상(Moon Sang Chung), 이영호(Young Ho Lee), 공현식(Hyun Sik Gong), 이승환(Seung Hwan Rhee), 김민범(Min Boem Kim), 오원석(Won Seok Oh), 전숙하(Suk Ha Jeon), 서은석(Eun Seok Suh), 백구현(Goo Hyun Baek)
• Format: Journal Article
• Language: Korean
• Published: 대한정형외과학회 01.12.2008
• Subjects: 정형외과학; Neuropathic arthropathy; Syringomyelia; 주관절; 척수 공동증; Elbow; 신경병성 관절병증
• ISSN: 1226-2102; 2005-8918

Purpose: Neuropathic arthropathy of the elbow is extremely rare and is characterized by painless destruction of the joint due to diminished proprioception. We report five cases of neuropathic arthropathy of the elbow with review of pertinent literature. Materials and Methods: We analyzed records of five patients who were diagnosed with neuropathic arthropathy of the elbow. There were three men and two women with a mean age of 38.6 years (range, thirteen to fifty years). The conditions associated with the arthropathy were three cases of syringomyelia, one tabes dorsalis, and one neurofibromatosis. One patient was conservatively treated and was followed periodically and others underwent operative procedures. The mean duration of follow-up was 8.5 years (range, one to nineteen years). Changes of symptoms, range of motion (ROM), and functional satisfaction were assessed. Results: The conservatively treated patient maintained the function of the elbow. In the surgically treated group, one case of ulnar nerve decompression and one case of osteosynthesis of the fractured olecranon showed improvement of symptoms, ROM, and function. But two patients who underwent reconstructive procedures had decreased ROM after complication of deep infection. Concluson: Neuropathic arthropathy of the elbow causes few functional problems despite of the radiologic destruction and instability of the elbow. Therefore symptomatic management is considered more preferable than surgical correction of destruction or instability of the elbow. KCI Citation Count: 0