Case series on the Charcot neuroarthropathy in hands after cervical central cord syndrome

Charcot neuroarthropathy (CNA) is a condition where joints degenerate, often due to nerve damage that causes a loss of sensation. This can lead to bone destruction and deformity. The researchers present three cases of CNA in the hands of patients with cervical spinal cord injuries, specifically those with central cord syndrome. This is noteworthy because CNA usually affects weight-bearing joints like those in the feet. Early diagnosis is crucial since there's no specific treatment for CNA. Protecting the affected joints is essential to prevent further damage and loss of function.

• 1
  All three patients with cervical SCI and central cord syndrome developed painless swelling and degenerative changes in the joints of their hands within a few months after their injuries.
• 2
  The study suggests that autonomic nervous system dysfunction, common after cervical SCI, might contribute to the development of CNA in the hands.
• 3
  X-ray findings indicated that the patients' conditions aligned with stages 1 or 2 of the modified Eichenholtz Classification, representing osseous fragmentation and coalescence of fragments, respectively.