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一名青少年舟骨远极骨折保守治疗后出现复杂性区域疼痛综合征

Complex regional pain syndrome in an adolescent with conservative treatment of a scaphoid distal pole fracture.

作者信息

Jebackumar Travis, Silveri Claudio, Gupta Sumit K, Belzarena Ana C

机构信息

The University of South Carolina School of Medicine, 6311 Garners Ferry Rd, Columbia SC 29209 USA.

Musculoskeletal Oncology Pathology Unit, Traumatology and Orthopedics Clinic of UdelaR at the National Institute of Orthopedics and Traumatology, Montevideo, Uruguay.

出版信息

Radiol Case Rep. 2025 Jul 24;20(10):5126-5130. doi: 10.1016/j.radcr.2025.06.113. eCollection 2025 Oct.

Abstract

Complex regional pain syndrome (CRPS) is a rare, chronic neuropathic pain disorder, particularly uncommon in adolescent populations and rarely associated with scaphoid fractures. We present the case of a 16-year-old female who developed CRPS following a minimally displaced scaphoid fracture treated conservatively with immobilization. The patient experienced persistent pain, hyperalgesia, trophic changes, and diffuse osteopenia, consistent with CRPS. Early diagnosis, where radiographs played a key role, and treatment with vitamin C and gabapentin led to the resolution of symptoms and recovery, emphasizing the critical importance of timely intervention. This case underscores the rarity of CRPS following scaphoid fractures in adolescents, highlights the need for increased clinical awareness, and further research to optimize outcomes in atypical presentations.

摘要

复杂性区域疼痛综合征(CRPS)是一种罕见的慢性神经性疼痛疾病,在青少年人群中尤为少见,且很少与舟状骨骨折相关。我们报告一例16岁女性病例,该患者在因舟状骨骨折行保守治疗(固定)后发生了CRPS。患者出现持续疼痛、痛觉过敏、营养性改变及弥漫性骨质减少,符合CRPS表现。早期诊断(X线片在其中起关键作用)以及维生素C和加巴喷丁治疗使症状得以缓解并康复,强调了及时干预的至关重要性。该病例突显了青少年舟状骨骨折后发生CRPS的罕见性,强调了提高临床认识的必要性,以及为优化非典型表现的治疗结果而进行进一步研究的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b4b/12311492/ee6e33483c59/gr1.jpg

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