Neurogenic arthropathy

[Rihanna]

Neurogenic arthropathy is a rapidly destructive arthropathy due to impaired pain perception and position sense, which can result from various underlying disorders, most commonly diabetes and stroke. Common manifestations include joint swelling, effusion, deformity, and instability. Pain may be disproportionately mild due to the underlying neuropathy. Diagnosis requires x-ray confirmation. Treatment consists of joint stabilization, which slows disease progression, and sometimes surgery if the disease is advanced.