Staunton H
Department of Neurology Beaumont Hospital, Beaumont Road, Dublin 9.
Ir Med J. 2006 Nov-Dec;99(10):313-5.
This paper reviews the contribution of Sudeck to the understanding of the condition commonly referred to as 'Sudeck's atrophy' and which is commonly used as a synonym for a condition variously called reflex sympathetic dystrophy, causalgia, algodystrophy and others. Sudeck came to show in his later papers that the so-called atrophy was, in the majority of cases, a normal inflammatory process of bone change in the course of healing after an inflammatory/infective or traumatic insult. Contrary to the views of much current literature, the vast majority of such cases had a good prognosis. In those cases which became pathological and had a correspondingly poorer prognosis, the characteristic clinical picture becomes associated with radiological and pathological changes, which, uniquely, are described by Sudeck. A knowledge of such radiological and pathological substrate for clinical symptomatology is important in the analysis of pain following trauma.
本文回顾了祖德克（Sudeck）对于理解通常被称为“祖德克萎缩症”的疾病所做出的贡献。该疾病常被用作反射性交感神经营养不良、灼性神经痛、痛性营养不良等多种病症的同义词。祖德克在其后期论文中指出，在大多数情况下，所谓的萎缩是炎症/感染或创伤性损伤后愈合过程中骨骼正常的炎症性变化过程。与当前许多文献的观点相反，绝大多数此类病例预后良好。在那些病情恶化且预后相应较差的病例中，典型的临床症状与放射学和病理学变化相关，而这些变化是祖德克所特有的描述。了解这种临床症状的放射学和病理学基础对于分析创伤后的疼痛很重要。
