Complex regional pain syndrome after distal radius fracture - case report and mini literature review

Abstrakt

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 medi- cations, physiotherapy, and kinesiotherapy. Significantly, the patient experienced notable im- provement following these interventions. This study underscores the absence of a definitive standard for CRPS treatment but suggests that proper rehabilitation and pharmaceutical interven- tions can contribute positively to patient outcomes. The case further highlights the potential asso- ciation between DRF and CRPS development, emphasizing the need for continued research in this field.

Autorzy

Michał Świta
Michał Świta
Paweł Szymonek
Paweł Szymonek
Konrad Talarek
Konrad Talarek
Karolina Turżańska
Karolina Turżańska
Agnieszka Posturzyńska
Agnieszka Posturzyńska
artykuł
Journal of Clinical Medicine
Angielski
2024
13
4
1122
otwarte czasopismo
CC BY 4.0 Uznanie autorstwa 4.0
ostateczna wersja opublikowana
w momencie opublikowania
2024-02-16
140
3
0
0