The complex regional pain syndrome in a wound treatment

Česká verzia

Authors: Martin Stašek ¹; Tomáš Řezáč ¹; Linda Bébarová ¹; Zbyněk Tüdös ²; Petr Prášil ³; Tomáš Gabrhelík ³
Authors place of work: 1. chirurgická klinika, FN Olomouc ¹; Radiologická klinika, LF UP a FN Olomouc ²; Klinika anestezie, resuscitace a intenzivní medicíny, LF UP a FN Olomouc ³
Published in the journal: Hojení ran 7, č. 2: 21-24, 2013
Category:

Summary

The complex regional pain syndrome (CRPS) is a less frequent but an important complication in the wound treatment and it is a potential cause of disability and prolonged healing. The paper deals with the etiology, it describes diagnostic and therapeutical algorithms and it emphasizes the urgency to commence an early and complex treatment. Our paper includes the case report of a patient with CRPS that developed during the treatment of a defect after an amputation of one finger in the upper extremity.

Key words:
complex regional pain syndrome, wound healing, edema

Zdroje

Kozák, J., Černý, R., Neradilek, F. Komplexní regionální bolestivý syndrom. In: Rokyta, R. et al. Bolest. Praha: Tigis, 2006.

Goebel, A. Complex regional pain syndrome in adults. Rheumatology 50, 10: 1739–1750, 2011.

de Mos, M., Huygen, F. J., van der Hoeven-Borgman, M. et al. Outcome of the complex regional pain syndrome. Clin J Pain 25, 7: 590–597, 2009.

Harden, R. N., Bruehl, S., Stanton-Hicks, M., Wilson, P. R. Proposed new diagnostic criteria for complex regional pain syndrome. Pain Med 8, 4: 326–331, 2007.

Veldman, P. H., Reynen, H. M., Arntz, I. E., Goris, R. J. Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients. Lancet 342, 8878: 1012–1016, 1993.

Sintzoff, S., Sintzoff, S. Jr., Stallenberg, B., Matos, C. Imaging in reflex sympathetic dystrophy. Hand Clin 13, 3: 431–442, 1997.

el-Khoury, G. Y., Dalinka, M. K., Alazraki, N. et al. Chronic foot pain. American College of Radiology. ACR Appropriateness Criteria. Radiology 215 Suppl: 357–363, 2000.

Holder, L. E., Mackinnon, S. E. Reflex sympathetic dystrophy in the hands: clinical and scintigraphic criteria. Radiology 152, 2: 517–522, 1984.

Holder, L. E., Cole, L. A., Myerson, M. S. Reflex sympathetic dystrophy in the foot: clinical and scintigraphic criteria. Radiology 184, 2: 531–535, 1992.

Schweitzer, M. E., Mandel, S., Schwartzman, R. J. et al. Reflex sympathetic dystrophy revisited: MR imaging findings before and after infusion of contrast material. Radiology 195, 1: 211–214, 1995.

Koch, E., Hofer, H. O., Sialer, G. et al. Failure of MR imaging to detect reflex sympathetic dystrophy of the extremities. Am J Roentgenol 156, 1: 113–115, 1991.

Černý, R. Neurologický pohled na komplexní regionální syndrom (s přehledem diferenciální diagnostiky bolestivých stavů na končetinách). Bolest 3, 2: 77–85, 2000.

Mikeš, K. Léčba Sudeckovy dystrofie neuroplegiky. Acta Chir Orthop Traum Čech 33, 2: 129–135, 1966.

Bébarová, L., Řezáč, T., Stašek, M. et al. Význam včasné chirurgické intervence v terapii nekrotizující vaskulitidy. Rozhl Chir 92, 2: 87–89, 2012.