Świta Michał, Szymonek Paweł, Talarek Konrad, Tomczyk-Warunek Agnieszka, Turżańska Karolina, Posturzyńska Agnieszka, Winiarska-Mieczan Anna
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.
J Clin Med. 2024 Feb 16;13(4):1122. doi: 10.3390/jcm13041122.
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.
Cochrane Database Syst Rev. 2020-2-7
Arch Orthop Trauma Surg. 2014-12
Clin Orthop Relat Res. 2018-4
Arch Phys Med Rehabil. 2013-9-29
Eur J Transl Myol. 2020-4-1
Curr Pain Headache Rep. 2023-9
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J Rehabil Med Clin Commun. 2023-5-25
Cochrane Database Syst Rev. 2022-5-17
Int J Environ Res Public Health. 2022-5-2