Charcot joint also known as neuropathic arthropathy is a disease that decreases the feeling of proprioception, pain and temperature sensation. Diabetes mellitus, syringomyeli and tabes dorsalis may be the cause of neuropathic arthropathy. Neuropathic arthropathy is seen among 25% of patients who are diagnosed syringomyeli, and 80% of patients upper extremity are effected. The differential diagnosis and septic arthritis and soft tissue sarcomas should be made with caution. The majority of patients present symptoms of neuropathic pain and the limitation of motion. During syringomyelia joint damage can develop at the early or late period of the disease. Treatment goals should be to reduce the joint damage while maintaining the functional range of motion. Initially, NSAIDs, orthotics, techniques that reduce weight to the joint and the patient education to prevent repetative trauma should be prefered as consevative treatments. The purpose of this study is to reveal radiologic imaging findings with clinical features of a patient who can not be diagnosed before contacting many centers because of the shoulder pain diagnosed with syringomyelia.