ArticleCureus2026
Charcot Arthropathy of the Shoulder With Ipsilateral Wrist and First Carpometacarpal Joint Involvement Secondary to Chiari Malformation Type I With Syringomyelia.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Charcot arthropathy of the shoulder is a rare manifestation of neuropathic joint disease and is most commonly associated with syringomyelia. When present, it often results in progressive joint destruction, but, due to minimal pain, it leads to delayed diagnosis. We report the case of a 54-year-old female presenting with a three-month history of left shoulder swelling, deformity, and severe restriction of range of motion, associated with ipsilateral wrist deformity. The patient had a known history of Chiari malformation type I with syringomyelia. Clinical examination revealed marked shoulder deformity with severe restriction of active motion and reduced sensation in the affected limb. Radiographs demonstrated advanced destructive changes of the glenohumeral joint with humeral head deformity and loose bodies. MRI revealed extensive shoulder joint effusion, rotator cuff muscle atrophy with relative deltoid preservation, and an extensive cervical syrinx extending from C2 to C7. A diagnosis of neuropathic (Charcot) arthropathy of the shoulder secondary to Chiari malformation with syringomyelia was established. Additional imaging showed obliteration of the first carpometacarpal (CMC) joint with subchondral sclerosis, cystic changes, and volar subluxation of the first metacarpal, as well as early degenerative changes at the ipsilateral elbow. The patient was managed conservatively with analgesics, protective measures, and multidisciplinary follow-up. Charcot arthropathy of the shoulder is an uncommon but important complication of syringomyelia associated with Chiari malformation type I. This case highlights the importance of early recognition of neuropathic arthropathy in patients with neurological disease. The combined involvement of the shoulder, wrist, and first CMC joint represents an unusual pattern of upper-limb neuropathic arthropathy and contributes to the existing literature on multi-joint involvement.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.