Global Spine J 2012;2:227–230.

Charcot arthropathy is a pattern of destructive changes that can impair joint function and stability. Since its original description by French physician Jean Marie Charcot, neuro-pathic arthropathy has been reported to affect nearly every joint in the body. The most accepted theory explaining the changes that occur in Charcot arthropathy centers around the cumulative effects of relatively minor traumatic events in an insensate joint.1–3 As the sum of these events accumulate, the joint surfaces are rapidly destroyed. Due to their role inweight-bearing activities, the joints of the lower extremity aremost commonly involved in thispathology. When neuropathic arthropathy of the upper extremity is observed, the shoulder is most frequently affected. Modern literature detailing cases of wrist involvement is limited to case reports from a myriad of different etiologies. To date, only one previous report of Charcot arthropathyof thewrist as a result of cervical spondylotic myelopathy exists. The purpose of this article is to describe a case of neuropathic arthropathy of the wrist secondary to cervical spondylotic myelopathy. Case Report A 72-year-old woman presented for evaluation of a progres-sive but painless right wrist deformity. The patient stated th