- Discussion:
- neuropathic shoulder may result from
syringomyelia (most common), chiari malformation, or syphilis;
- in some cases, it may be confused w/
shoulder instability;
- Management:
-
arthrodesis should be avoided in the acute inflammatory stage of the disease;
- Case Histories:
- 40 yo female being worked up for rotator cuff tear.
- 14 yo male presenting with shoulder pain while pitching.
- work up revealed Type I Chiari malformation.
Paraplegia, syrinomyelia tarda, and neuropathic arthrosis of the shoulder: A triad.
JG Tully. CORR. Vol 134. 1978. p 244-248.
Syringomyelia presenting as shoulder instability.
RR Richards. Journal of Shoulder and Elbow Surgery. Vol 1. 1992. p 155-161.
