Today, I felt like sharing random things that I learnt today. It's about neuropathic joint disease - Destructive joint disease due to loss of pain and proprioception.
Neuropathic joint resembles osteoarthritis (Osteophytes, loose bodies, loss of articular cartilage, etc.)
I couldn't think of neuropathic joint disease as a differential today because I was so caught up in osteoarthritis!
The distribution of joint involvement depends on the underlying neurologic disorder.
Tabes dorsalis: Hip, knee, ankle.
Syringomyelia: Glenohumeral joint, elbow, wrist.
Diabetes: Tarsal and tarsometatarsal joint.
This is a major clue. The joint distribution.
Diabetes mellitus is the most common cause of Charcot's joint.
Other causes of Charcot's joint include yaws, leprosy, Charcot Mary Tooth disease and meningomyelocele.
I cannot feel, what is real..