{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:34:50Z","timestamp":1753893290936,"version":"3.41.2"},"reference-count":27,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T00:00:00Z","timestamp":1653868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013061","name":"Jilin Scientific and Technological Development Program","doi-asserted-by":"publisher","award":["20190905003SF"],"award-info":[{"award-number":["20190905003SF"]}],"id":[{"id":"10.13039\/501100013061","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Previous reports on the treatment of neuropathic arthropathy of the wrist were generally conservative, with few case reports of treatment with osteoarticular surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A 25-year-old right-handed male complained of unpainful swelling of the dorsal aspect of his right wrist for 3 years. He was at that time diagnosed with synovitis and radiocarpal arthritis. The patient underwent a partial Four-Corner Arthrodesis and Synoviectomy to preserve motor function. Over the next 2 months, his right wrist also developed painful redness, with progressive swelling and stiffness. Rheumatoid arthritis, tuberculosis arthritis, and infectious diseases were ruled out in this case. Magnetic resonance imaging (MRI) indicated that he had Chiari II syringomyelia so the patient was eventually diagnosed with destructive neuropathic arthropathy (syringomyelia). After 2 months of conservative treatment, the patient\u2019s right wrist spontaneously and completely fused and the pain disappeared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Neuropathic arthropathy of the wrist is a rare but clinically significant disease due to its effect on the function of the active limb. Surgeons should rule out a diagnosis of it when treating patients with wrist swelling and osteoarticular abnormalities, otherwise, limited intercarpal arthrodesis should not be taken as a treatment option. Inappropriate partial surgery is likely to lead to rapid total fusion of neuropathic arthropathy of the wrist.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.771896","type":"journal-article","created":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T08:00:16Z","timestamp":1654070416000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Rapid Spontaneous Total Fusion of Neuropathic Arthropathy of the Wrist After Limited Intercarpal Arthrodesis: A Case Report and Brief Literature Review"],"prefix":"10.3389","volume":"9","author":[{"given":"Ke","family":"Xu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guangzhi","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weizhong","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shusen","family":"Cui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,5,30]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1055\/s-0032-1315457","article-title":"Charcot arthropathy of the wrist associated with cervical spondylotic myelopathy","volume":"2","author":"Jackson","year":"2012","journal-title":"Glob Spine J"},{"key":"B2","doi-asserted-by":"publisher","first-page":"303","DOI":"10.3171\/2012.11","article-title":"Neuropathic arthropathy caused by syringomyelia","volume":"18","author":"Deng","year":"2013","journal-title":"J Neurosurg Spine"},{"key":"B3","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1016\/j.jse.2016.10.015","article-title":"Charcot shoulder and elbow: a review of the literature and update on treatment","volume":"26","author":"Snoddy","year":"2017","journal-title":"J Shoulder Elb Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e38","DOI":"10.1212\/WNL.0000000000004154","article-title":"Teaching NeuroImages: the charcot shoulder: Chiari malformation with syringomyelia associated with arthropathy","volume":"89","author":"Bocca","year":"2017","journal-title":"Neurology"},{"key":"B5","doi-asserted-by":"publisher","first-page":"2959","DOI":"10.1007\/s00296-012-2514-1","article-title":"Acute charcot arthropathy of the wrist in a diabetic patient","volume":"33","author":"Caglayan","year":"2013","journal-title":"Rheumatol Int"},{"key":"B6","doi-asserted-by":"publisher","first-page":"979","DOI":"10.1007\/s00296-009-1013-5","article-title":"Neuropathic arthropathy progressing with multiple joint involvement in the upper extremity due to syringomyelia and type I Arnold-Chiari malformation","volume":"30","author":"Nacir","year":"2010","journal-title":"Rheumatol Int"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1909","DOI":"10.1007\/s00402-020-03407-5","article-title":"Mid-term walking ability after charcot foot reconstruction using the Ilizarov ring fixator","volume":"140","author":"Wirth","year":"2020","journal-title":"Arch Orthop Traum Su"},{"key":"B8","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1016\/j.cpm.2013.09.007","article-title":"Charcot neuroarthropathy of the foot and ankle: diagnosis and management strategies","volume":"31","author":"Blume","year":"2014","journal-title":"Clin Podiatr Med Sur"},{"key":"B9","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1053\/j.jfas.2015.12.001","article-title":"Charcot neuroarthropathy in patients with diabetes: an updated systematic review of surgical management","volume":"55","author":"Schneekloth","year":"2016","journal-title":"J Foot Ankle Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"2589","DOI":"10.1007\/s00264-016-3309-x","article-title":"Is shoulder arthroplasty an option for charcot arthropathy?","volume":"40","author":"Schoch","year":"2016","journal-title":"Int Orthop"},{"key":"B11","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/j.fas.2019.01.010","article-title":"Ankle fusion following failed initial treatment of complex ankle fractures in neuropathic diabetics","volume":"26","author":"Wallace","year":"2020","journal-title":"Foot Ankle Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1016\/j.diii.2012.05.016","article-title":"Neuropathic arthropathy. 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