A case report of multiple neuropathic arthropathy in a patient with syphilis
10.3760/cma.j.cn121113-20240327-00173
- VernacularTitle:多部位梅毒性神经关节病一例报告
- Author:
Zheming BAO
1
;
Xiuchun YU
;
Feng WANG
;
Xiaolei FENG
;
Bo WU
Author Information
1. 中国人民解放军联勤保障部队第九六〇医院骨病科，济南 250031
- Keywords:
Arthropathy, neurogenic;
Syphilis;
Arthroplasty;
Arthrodesis
- From:
Chinese Journal of Orthopaedics
2024;44(19):1296-1299
- CountryChina
- Language:Chinese
-
Abstract:
A case report of multiple neuropathic arthropathy in a patient with syphilis was reported. A 54-year-old man was admitted to the hospital 10 years ago due to edema and pain with limited motion for 3 d after a sprain in his right foot. Imaging examination then showed bone and joint destruction of the talus and scaphoid of the right foot. The talonavicular and calcaneocuboid joint arthrodesis was performed. Ten years later, he was admitted again due to pain in his left hip for 2 months after a fall. Present imaging examination showed disappearance of the femoral head and dislocation of the hip joint. Syphilitic neuroarthropathy was diagnosed and total hip arthroplasty was performed. After operation, the right foot and left hip yielded good results without obvious pain and joint dislocation. Literature review showed that the causes of neuropathic arthropathy were very wide, but multiple neuropathic arthropathy in patients with syphilis was rarely reported. The treatment of neuropathic arthropathy should be considered based on comprehensive factors such as the location of the affected joint, the degree of damage and the impact on function. The aim of treatment is to obtain painless, stable and functional joints. With sensory loss of the patients, enhancing restriction of the joint during surgery is of importance to effectively prevent postoperative dislocation and obtain good function.
