Siringomiyeli’ye Bağlı Gelişen Charcot Omuz: Vaka Sunumu

  • Tacettin Ayanoğlu Department Of Orthopedics And Traumatoloji, Medical Faculty Of Gazi University, Ankara, Turkey
  • Ahmet Yiğit Kaptan Department Of Orthopedics And Traumatoloji, Medical Faculty Of Gazi University, Ankara, Turkey
  • Hakan Atalar Department Of Orthopedics And Traumatoloji, Medical Faculty Of Gazi University, Ankara, Turkey
  • Murat Uçar Department Of Radiology, Medical Faculty Of Gazi University, Ankara, Turkey
  • Osman Şahap Atik Department Of Orthopedics And Traumatoloji, Medical Faculty Of Gazi University, Ankara, Turkey

Abstract

Nöropatik atropati olarak da bilinen Charcot eklemi propriosepsiyon,ağrı ve sıcaklık duyusunun azaldığı yıkıcı bir hastalıktır. Diabetes mellitus, sirigomyeli ve tabes dorsalis gibi hastalıklar sonucu nöropatik atropati oluşabilir. Nöropatik artropati siringomiyeli olan hastaların %25 inde görülür ve bunların %80’i üst ekstremitede görülür. Ayırıcı tanıda septik artrit ve yumuşak doku sarkomuna mutlaka dikkat edilmelidir. Klinik olarak, nöropatik eklem hastalıkları ağrı ve hareket kısıtlılığı ile karakterize eklemde deformasyonla birliktedir. Siringomyeli süresince nöropatik eklem hasarı erken veya geç dönemde gelişebilir. Tedavi hedefleri fonksiyonel eklem hareket açıklığını korurken eklem hasarını azaltmak olmalıdır. Başlangıçta semptomatik tedavi içeren NSAİD, ortezler, ağırlık vermeyi azaltan teknikler ve hasta eğitimi gibi mekanik tekrarlayıcı travmayı azaltacak konservatif yöntemler uygulanmalıdır. Bu çalışmanın amacı daha önce birçok merkeze omuz ağrısı nedeniyle başvurup tanı alamayan siringomyeli tanılı bir hastanın klinik özellikleri ile birlikte radyolojik olarak görüntüleme bulgularını ortaya koymaktır.

Author Biography

Tacettin Ayanoğlu, Department Of Orthopedics And Traumatoloji, Medical Faculty Of Gazi University, Ankara, Turkey
Ortopedi ve Travmatoloji ABD

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Published
2015-10-01