Hérisson C
Service central de rééducation fonctionnelle, CHU Lapeyronie, Montpellier.
Rev Prat. 1997 Jan 1;47(1):62-4.
The foot is one of the most frequent site of the reflex sympathetic dystrophies, and clinical data associate pain and vasomotor disturbances. Hyperfixation as revealed by bone scan appears early but is nonspecific. X-ray data show demineralization that is typically spotty, and sometimes diffuse. Therapeutic management associates drug treatment (calcitonin) and rehabilitation based on specific rules, in particular, that of "no pain". In the case of failure, regional sympathetic blocks are indicated. The etiologies of the reflex sympathetic dystrophies vary, but are dominated by trauma.
足部是反射性交感神经营养不良最常见的部位之一，临床数据显示疼痛与血管舒缩功能障碍有关。骨扫描显示的过度固定出现较早，但不具有特异性。X线数据显示骨质脱矿，通常呈斑点状，有时也呈弥漫性。治疗方法包括药物治疗（降钙素）和基于特定规则的康复治疗，特别是“无痛”规则。如果治疗失败，则需进行局部交感神经阻滞。反射性交感神经营养不良的病因各不相同，但以创伤为主。
