{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:26:51Z","timestamp":1777876011524,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,8,11]],"date-time":"2015-08-11T00:00:00Z","timestamp":1439251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:p>Neuropathic arthropathy of the elbow is a rare condition, which is disabling and difficult to treat. Initial treatment is conservative and arthrodesis is rarely indicated. We describe an unusual case of progressive unilateral elbow swelling in a 37-year-old female domestic helper. She was found to have neuropathic arthropathy of her right elbow secondary to underlying cervico-thoracic syringomyelia. She underwent decompression of the syringomyelia before underdoing elbow fusion. Her elbow was initially immobilized in a cast to minimize bony fragmentation and soft tissue swelling. Serial X-rays were performed with a regular change of cast as the swelling subsided. When there was no further radiological evidence of bony fragmentation, elbow fusion at 60\u00b0 was performed using a two-plate technique at 7 months after the initial presentation. With well-preserved ipsilateral hand function, she was could still perform household chores despite having a fused elbow. Radiological evidence of successful elbow fusion was documented at 23 weeks after surgery. There were no complications. If elbow fusion is considered, we recommend a trial of immobilization in the preferred angle of fusion to assess the patient\u2019s suitability. Factors such as the young age of a patient and good quality bone may also contribute to the success of the fusion<\/jats:p>","DOI":"10.1177\/1758573215598731","type":"journal-article","created":{"date-parts":[[2015,8,11]],"date-time":"2015-08-11T19:58:56Z","timestamp":1439323136000},"page":"48-53","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Neuropathic arthropathy of the elbow treated with double-plate arthrodesis and resection site bone graft"],"prefix":"10.1177","volume":"8","author":[{"given":"Chi Loong","family":"Jen","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James Chung Hui","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,8,11]]},"reference":[{"key":"bibr1-1758573215598731","first-page":"372","volume":"37","author":"Kelly M","year":"1963","journal-title":"Bull Hist Med"},{"key":"bibr2-1758573215598731","first-page":"533","volume":"89","author":"Unnanuntana A","year":"2006","journal-title":"J Med Assoc Thai"},{"key":"bibr3-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(03)00168-X"},{"key":"bibr4-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.01.024"},{"key":"bibr5-1758573215598731","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200106000-00004"},{"key":"bibr6-1758573215598731","first-page":"E39","volume":"41","author":"Farzan M","year":"2012","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"bibr7-1758573215598731","first-page":"525","volume":"73","author":"Ruette P","year":"2007","journal-title":"Acta Orthop Belg"},{"key":"bibr8-1758573215598731","first-page":"194","volume":"27","author":"Bhaskaran R","year":"1981","journal-title":"J Postgrad Med"},{"key":"bibr9-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199708000-00017"},{"key":"bibr10-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2005.08.019"},{"key":"bibr11-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-009-1013-5"},{"key":"bibr12-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-003-0389-x"},{"key":"bibr13-1758573215598731","volume-title":"Charcot joints","author":"Eichenholtz SN","year":"1966"},{"key":"bibr14-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1016\/j.cuor.2008.08.004"},{"key":"bibr15-1758573215598731","doi-asserted-by":"publisher","DOI":"10.3171\/2012.11.SPINE12860"},{"key":"bibr16-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1053\/j.semss.2006.06.008"},{"key":"bibr17-1758573215598731","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1991.75.5.0823"},{"key":"bibr18-1758573215598731","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198163090-00005"},{"key":"bibr19-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1097\/BTE.0b013e31812dfb85"},{"key":"bibr20-1758573215598731","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20140430-04"},{"key":"bibr21-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2011.02.002"},{"key":"bibr22-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1097\/00130911-200312000-00008"},{"key":"bibr23-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.06.008"},{"key":"bibr24-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-010-0686-5"},{"key":"bibr25-1758573215598731","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.28940"},{"key":"bibr26-1758573215598731","first-page":"80","volume":"8","author":"Nagy SM","year":"1999","journal-title":"J South Orthop Assoc"}],"container-title":["Shoulder &amp; 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