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Complex Regional Pain Syndrome after Distal Radius Fracture-Case Report and Mini Literature Review.

作者信息

Świta Michał, Szymonek Paweł, Talarek Konrad, Tomczyk-Warunek Agnieszka, Turżańska Karolina, Posturzyńska Agnieszka, Winiarska-Mieczan Anna

机构信息

Department of Rehabilitation and Orthopedics, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland.

Laboratory of Locomotor Systems Research, Department of Rehabilitation and Physiotherapy, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland.

出版信息

J Clin Med. 2024 Feb 16;13(4):1122. doi: 10.3390/jcm13041122.


DOI:10.3390/jcm13041122
PMID:38398434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10889771/
Abstract

This study explores the impact of the complex regional pain syndrome (CRPS) on the lives and mobility of patients, with a particular focus on its emergence as a late complication of distal radius fractures (DRFs), a common occurrence, especially among an aging population. The absence of a standardized treatment for the CRPS and the challenge of predicting its occurrence make it a complex medical issue. This research aims to shed light on the effects of treating the CRPS through a case study involving a 75-year-old woman with untreated osteoporosis who experienced a Colles fracture after a fall. The initial management involved repositioning and stabilizing the fractured forearm with a plaster cast, followed by an operation using percutaneous pinning via a Kirschner wire. Subsequently, the patient developed CRPS symptoms and was admitted to the rehabilitation department three months post-fracture. The affected forearm exhibited swelling, warmth, pain, and severely limited range of motion. Treatment involved a combination of medications, physiotherapy, and kinesiotherapy. Significantly, the patient experienced notable improvement following these interventions. This study underscores the absence of a definitive standard for CRPS treatment but suggests that proper rehabilitation and pharmaceutical interventions can contribute positively to patient outcomes. The case further highlights the potential association between DRF and CRPS development, emphasizing the need for continued research in this field.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c8/10889771/073465804cdc/jcm-13-01122-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c8/10889771/568d106e8f4f/jcm-13-01122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c8/10889771/78aab639e932/jcm-13-01122-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c8/10889771/460c13c8400b/jcm-13-01122-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c8/10889771/8c5fd4c77d31/jcm-13-01122-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c8/10889771/073465804cdc/jcm-13-01122-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c8/10889771/568d106e8f4f/jcm-13-01122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c8/10889771/78aab639e932/jcm-13-01122-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c8/10889771/460c13c8400b/jcm-13-01122-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c8/10889771/8c5fd4c77d31/jcm-13-01122-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32c8/10889771/073465804cdc/jcm-13-01122-g005.jpg

相似文献

[1]
Complex Regional Pain Syndrome after Distal Radius Fracture-Case Report and Mini Literature Review.

J Clin Med. 2024-2-16

[2]
Percutaneous pinning for treating distal radial fractures in adults.

Cochrane Database Syst Rev. 2020-2-7

[3]
Prognostic Value of Pain Sensitization During Early Recovery After Distal Radius Fracture in Complex Regional Pain Syndrome.

Pain Med. 2019-6-1

[4]
Low vitamin D levels in post-menopausal women are associated with complex regional pain syndrome type I in surgically treated distal radius fractures.

J Orthop Surg Res. 2020-8-14

[5]
Factors associated with complex regional pain syndrome type I in patients with surgically treated distal radius fracture.

Arch Orthop Trauma Surg. 2014-12

[6]
Fibromyalgia as a Predictor of Complex Regional Pain Syndrome After Distal Radius Fracture.

Hand (N Y). 2019-7

[7]
Investigate the Effect of Psychological Factors in Development of Complex Regional Pain Syndrome Type I in Patients with Fracture of the Distal Radius: A Prospective Study.

J Hand Surg Asian Pac Vol. 2018-12

[8]
Complex Regional Pain Syndrome After Distal Radius Fracture Is Uncommon and Is Often Associated With Fibromyalgia.

Clin Orthop Relat Res. 2018-4

[9]
Complex regional pain syndrome type I: incidence and risk factors in patients with fracture of the distal radius.

Arch Phys Med Rehabil. 2013-9-29

[10]
A randomized controlled trial on Aspirin and complex regional pain syndrome after radius fractures.

Eur J Transl Myol. 2020-4-1

引用本文的文献

[1]
The incidence, prevalence, and years lived with disability of forearm fractures: a systematic analysis based on the global burden of disease study 2021.

Front Public Health. 2025-7-10

本文引用的文献

[1]
Different Types of Pain in Complex Regional Pain Syndrome Require a Personalized Treatment Strategy.

J Pain Res. 2023-12-27

[2]
Complex Regional Pain Syndrome: Evidence-Based Advances in Concepts and Treatments.

Curr Pain Headache Rep. 2023-9

[3]
Complex Regional Pain Syndrome (CRPS) and the Value of Early Detection.

Curr Pain Headache Rep. 2023-9

[4]
LONG-STANDING COMPLEX REGIONAL PAIN SYNDROME-TYPE I: PERSPECTIVES OF PATIENTS NOT AMPUTATED.

J Rehabil Med Clin Commun. 2023-5-25

[5]
Functional outcomes and complications after treatment of distal radius fracture in patients sixty years and over: A systematic review and network meta-analysis.

Injury. 2023-7

[6]
Complex Regional Pain Syndrome: Practical Diagnostic and Treatment Guidelines, 5th Edition.

Pain Med. 2022-6-10

[7]
Effectiveness of surgical versus conservative treatment of distal radius fractures in elderly patients: A systematic review and meta-analysis.

Orthop Traumatol Surg Res. 2022-9

[8]
Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) types I and II.

Cochrane Database Syst Rev. 2022-5-17

[9]
Effects of Mirror Neurons-Based Rehabilitation Techniques in Hand Injuries: A Systematic Review and Meta-Analysis.

Int J Environ Res Public Health. 2022-5-2

[10]
Physical Vascular Therapy (BEMER) Affects Heart Rate Asymmetry in Patients With Coronary Heart Disease.

In Vivo. 2022

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