A case report: Charcot knee occurred after the operation of giant neurinoma of lumbar spine.

概要

論文の詳細を見る
We have recently experienced Charcot knee occurred after the operation of giant neurinoma of lumbar spine. Our patient is a 33-year-old female from Finland and her chief complaint was swelling of the right knee joint without pain. The gradually increased low back pain was bothering her for 5 years and hypesthesia of the right lower leg occurred for the last 2 months in the 5 years. And also, she suffered from the gait disturbance. In May of 1983, we operated her to remove the tumor of spinal cord and found that the tumor was spread from the 1st lumbar spine to the 5th lumbar spine. Histologically, we diagnosed this tumor as a neurinoma. After the operation, in spite of the palsy in the right leg, she could manage to walk by herself using the crutch. However, in March of 1986, she complained of swelling in the right knee (34 months after the operation). As roentgenograms showed large destructive change on the tibial plateau, we made a diagnosis of Charcot knee. We are treating our patient by the conservative therapy using LLB brace.
西日本整形・災害外科学会の論文