Bacchini M, Vaienti E, Soncini G
Istituto di Clinica Ortopedica e Traumatologica, Università Parma.
Chir Organi Mov. 1999 Apr-Jun;84(2):189-96.
The etiopathogenesis of reflex sympathetic dystrophy is still undefined, and diagnosis and treatment are difficult. It is the purpose of this study to propose precise diagnostic and therapeutic criteria for post-traumatic reflex sympathetic dystrophy of the ankle and foot. Diagnosis is pre-eminently clinical. Clinical progression of the disease occurs in three stages: acute, dystrophic, chronic. Radiographic examination cannot be used to classify the stage of the syndrome. Bone scan with Tc 99M methylendiphosphonate aids diagnosis, and helps establish the prognosis of the disease. Clinical symptoms and instrumental tests (x-ray, bone scan, CT scan, MRI) are discussed in relation to differential diagnosis with other pathologies of the ankle and foot. Furthermore, the effective use of drugs, physiokinesitherapy, and hyperbaric oxygen therapy is discussed. The authors present a study of 32 patients, paying close attention to early clinical signs of the disease. X-ray examination and bone scan were routinely carried out in established diagnostic protocols.
反射性交感神经营养不良的病因仍不明确，诊断和治疗也很困难。本研究的目的是提出针对踝关节和足部创伤后反射性交感神经营养不良的精确诊断和治疗标准。诊断主要依靠临床。该病的临床进展分为三个阶段：急性期、营养不良期、慢性期。影像学检查不能用于对该综合征进行分期。锝99m亚甲基二膦酸盐骨扫描有助于诊断，并有助于确定疾病的预后。结合与踝关节和足部其他病症的鉴别诊断，对临床症状和仪器检查（X线、骨扫描、CT扫描、MRI）进行了讨论。此外，还讨论了药物、物理运动疗法和高压氧疗法的有效应用。作者对32例患者进行了研究，密切关注该病的早期临床症状。在既定的诊断方案中常规进行X线检查和骨扫描。
