Name
NEUROPATHIC JOINT DISEASE
DESCRIPTION
DETAIL
D.D. OF NEUROPATHIC JOINTS : - DIABETES MALLITUS - SYPHILIS - LEPROSY - YAWS - SYRINGOMYELIA - MENINGOMYELOCOELE - CONGENITAL INDIFFERENCE TO PAIN - PARONEAL MUSCULAR ATROPHY - AMYLOIDOSIS - REPEATED INTRARTICULAR STEROID INJECTIONS - CALCIUM PYROPHOSPHATE DIHYDRATE CRYSTAL DEPOSITION DISEASE - OSTEOMYELITIS - OSTEONECROSIS - ADVANCED OSTEOARTHRITIS - STRESS FRACTURESOTHER TESTS : * JOINT ASPIRATE FOR TESTING - NONINFLAMMATORY IN NEUROPATHIC JOINTS, MAY BE XANTHOCHROMIC OR BLOODY, MAY CONTAIN FRAGMENTS OF SYNIVIUM, CARTILAGE & BONE. * X-RAY OF THE JOINTS - INITIALLY CHANGES OF OSTEOARTHRITIS WITH JOINT SPACE NARROWING, SUBCHONDRAL BONE SCLEROSIS, OSTEOPHYTES, JOINT EFFUSION, LATER ON MARKED DESTRUCTIVE & HYPERTROPHIC CHANGES. IN ADVANCED CASES SOFT TISSUE SWELLING, BONE RESORPTION, FRACTURES, LARGE OSTEOPHYTES, EXTRA-ARTICULAR BONE FRAGMENTS & SUBLUXATION. * BONE SCAN USING INDIUM 111-LABELED WHITE BLOOD CELLS OR INDIUM LABELED IMMUNOGLOBULIN G. - SHOWS INCREASED UPTAKE IN OSTEOMYELITIS BUT NOT IN NEUROPATHIC JOINT.
TYPENOTES
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
BONE SCAN, COMPLETE BLOOD COUNT, MRI, X-RAY