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At least 1,567 records · Page 87Linked to original sources
PubMed1993

[Measuring pressure in the carpal tunnel in distal radius fracture].

During to the nature of its anatomical locations the median nerve is the nerve most often and most severely affected in compartment syndromes. In our controlled prospective study of 59 patients with distal fractures of the radius, critically high pressure was recorded in the carpal tunnel even in sites of moderate soft tissue swelling. The increase in pressure is directly related to the extent of fracture hematoma, the interval between injury and treatment, and the amount of manipulation during reduction. The average pressure within the carpal tunnel of a normal wrist joint held in the neutral position is 5 mm Hg. In contrast, the average carpal tunnel pressure in the distal radius fracture group in this study was increased to 24 mmHg. During reduction average pressures increase to 44 mmHg, subsequently decrease for a brief period, and finally increase to 34 mmHg 4 h later. At 12 h after reduction average values are still 26 mm Hg. Patients developing Sudeck's dystrophy during treatment (n = 4) exhibit above-average carpal tunnel pressure.

Adolescent↗
PubMed1989

[Sudeck syndrome and its "psychosomatic disposition": a comparative clinico-psychologic study of the etiology in accident patients].

This study comprises a large psychological investigation of 10 patients with Posttraumatic Sympathetic Dystrophy of hands and compares the results with a control-group. It was found that a "psychosomatic disposition" with three factors completing each other occurs: a neurotic-depressive structure of personality including narcisistic problems, a posttraumatic disorder of adaptation with various emotional traits (as a reaction to the stress of the somatic trauma) and finally a less confidential style of interaction between the medical practitioner and the patient. A supporting psychotherapy is proposed, if necessary combined with a Tranquilizer. The behaviour of the medical practitioner has a prophylactic function.

Female↗
PubMed1983

Partial algodystrophy of the knee. An anatomico-radiological study of one case.

A 62-year-old man presented with intense pain in the right knee experienced immediately after slipping. The radiograph taken during the following weeks showed the development of a localized radiotranslucence of the lateral femoral condyle. Bone biopsy excluded an infectious process or tumor and revealed the histological characteristics of Sudeck's bone dystrophy. The clinical, radiological and histological data considered together were consistent with a diagnosis of "partial algodystrophy", a term considered preferable to "transient osteoporosis". The diagnosis was confirmed on clinical and radiological followup.

Biopsy↗
PubMed1989

Autogenic training as an effective treatment for reflex neurovascular dystrophy: a case report.

A 15-year-old girl complained of swelling and shooting pains in the right upper extremity, which had bothered her for seven months. Physical examination revealed swelling, cyanosis, weakness and hyperesthesia over the entire right upper extremity. Serological and biochemical data were within normal limits. She was diagnosed as having reflex neurovascular dystrophy (RND). Psychological problems with school and her family might have contributed to the pathogenesis of the disease. With autogenic training (AT), remission was obtained within eighteen months.

Adolescent↗
PubMed1987

Reflex neurovascular dystrophy. A case report.

A child suffering from reflex neurovascular dystrophy (RND) who presented with a bizarre neurological picture is reported. RND is an extremely painful and disabling condition readily amenable to treatment. A striking feature is the localisation of pain and hyperaesthesia which do not follow a somatic dermatome distribution.

Child↗
PubMed1987

Historical perspective of causalgia. Management of sympathetically maintained pain.

The plethora of terms included in the broad category of sympathetic dystrophies, and causalgia in particular, has made specific disorders, with unique clinical characteristics, very difficult to isolate into discrete clinical entities. Rather, the sympathetic dystrophies currently are regarded as existing along a continuum of varying severity and as having one basic pathophysiological mechanism, with considerable overlap of terms. The purposes of this article are 1) to review the theories of physiological mechanisms of causalgia and other forms of sympathetically maintained pain, 2) to describe their clinical characteristics, and 3) to discuss their physical therapy management.

Biofeedback, Psychology↗
PubMed1985

Sudeck-type dystrophy in Paget's disease of bone. An anatomico-radiological approach.

Anatomico-radiological study of a humerus with Paget's disease and unhealed fracture makes it possible to demonstrate the uneven development of the disease according to local conditions. The possible role of a bone dystrophy similar to that in Sudeck's disease which might - along with a slow virus infection - be involved in the development of Paget's disease is discussed. The discussion is based on the present case, on two previous studies as well as on data found in the literature.

Aged↗
PubMed2003

[Reflex dystrophy affects children, too].

Reflex dystrophy or Complex Regional Pain Syndrome (CRPS) is a neuropathic pain condition in a limb after a trauma. Pain is not limited to one or more dermatomes and there is a disproportion between the intensity of the pain and the eliciting trauma. Among physicians in Denmark it is not common knowledge that CRPS also affects children. It is not described in paediatric textbooks and until 1978 there were only eight published case reports. CRPS is seen in older children and teenagers and the pain is often located in a leg. CRPS is more common among girls than boys (approx. 4:1). Lack of knowledge of CRPS in children often results in a fairly long delay between the onset of symptoms and the diagnosis. Physiotherapy is an important part of the treatment of CRPS but concomitant pain treatment is often required in order to make physiotherapy possible. Sympathetic nerve block with intravenous regional guanethedine block or an epidural blockade is used. A number of analgesics may also be used. The treatment should be administered by a multi-disciplinary team. The incidence of CRPS in children in Denmark is unknown but the condition is probably under-diagnosed. Early diagnosis and active treatment may reduce the duration of the condition considerably.

Adolescent↗
PubMed1989

[Early and late complications of radius fractures in the classical location].

The early and late complications of fractures of the distal end of the radius are evaluated from the records of 853 cases treated in a private surgical practice. Whilst the morbidity of the 123 fractures in children and adolescents is practically negligible, the incidence of complications in the series of 730 fractures in adults amounts to 28%. The complications in adults are analysed and separated into 8 categories: early dislocations, healing in malposition, compressive neuropathies, reflex dystrophy syndromes, persistent pains, rupture of the extensor pollicis longus tendon, stenosing tenosynovitis, and other complications. The most complications, especially those with a permanent invalidity, are associated with an early instability or a malposition.

Adolescent↗
PubMed1981

[Metaphyseal osteolysis. Unusual aspect of reflex algodystrophy in children (author's transl)].

Two children 7 and 14 years old respectively, presented with reflex neurovascular dystrophy. The salient feature of the disease consisted of osteolytic lesions of distal tibial and fibulal metaphyses. To out knowledge these were not previously reported. Complete recovery spontaneously occurred in a few weeks or months. Thus they do not require any treatment, which might be harmful.

Bone Resorption↗
PubMed1991

[Sympathetic nervous system, pain and epidural administration of morphine].

There are multilevel intrications between nociceptive afferences and sympathetic efferences: anatomical vicinity in visceral innervation; systemic and local activation of the sympathetic efferences in response to nociceptive stimulation; major role of sympathetic activation in the perpetuation of sympathetic dystrophies. The analysis of a retrospective series of 10 patients suffering from algodystrophia revealed that epidural morphine administration had a beneficial effect only in those which were treated at an early stage of their illness. Despite epidural morphine has been claimed to be without effect on the efferent sympathetic tone in normal animals and individuals, it seems that in some pathologic states, the sympathetic output can be depressed. Recent anatomical and neurophysiological evidences argue for such a possibility.

Analgesia, Epidural↗
PubMed1992

[Percutaneous lumbar thermal sympathectomy: method, indications and results].

Thermal lumbar sympathectomy has been the method of choice since the 'eighties in the treatment of reflex dystrophy. We are using this method since January 1990. First results are presented and critically analysed. 15 patients who underwent thermal lumbar sympathectomy were examined and interviewed 1 year after treatment. 7 patients reported persisting pain relief, while the remaining 8 did not.

Adult↗
PubMed1987

[Severe and extensive algodystrophies and malignant tumors. Apropos of 4 cases].

The authors report on 4 cases of particularly severe and extensive reflex neurovascular dystrophy, whose clinical course was marked by the onset of a malignant tumor, without any sign of improvement in the reflex neurovascular dystrophy, despite various therapeutic regimens, until the patient's death from malignancy. At this time, the authors compiled a total of 63 case reports (4 of which were reported) and have proposed a classification to differentiate 4 types of disorders in combination according to whether there is a very probable, probable, or possible link or whether the combination is strictly a coincidence. The pathogenic mechanism remains a mystery, when a link is observed; but it never corresponds to criteria to describe a paraneoplastic disorder. Finally, the authors insist on the practical value of detecting this combination, even if due to chance: in order to systematically detect cancer in the presence of any reflex neurovascular dystrophy, and especially to be conscious of a possible reflex neurovascular dystrophy, besides possible metastatic lesions, in the presence of osteoarticular pain present in a patient with cancer. Such a diagnosis, although difficult to realize, has great prognostic and therapeutic interest.

Aged↗
PubMed2000

Frozen shoulder: a sympathetic dystrophy?

Diagnostic and clinical features of the frozen shoulder syndrome and the Sudeck syndrome are similar in many aspects. Radioisotope bone scan shows an increased uptake in affected areas in both diseases, while native radiographs show a progressive demineralisation. Measurement of bone mineral density (BMD) by quantitative digital radiography objectified these local decalcification processes in an early stage of the frozen shoulder syndrome; 10 of 12 patients with primary frozen shoulder had BMD decreases greater 21% in the humeral head of the affected shoulder compared to the non-affected side. In the immobilised control group with degenerative changes of the rotator cuff, calcifying tendinitis and shoulder instability (n = 12) and in the group of healthy probands (n = 20), the difference between the affected and non-affected side (left and right humerus of the healthy probands) was only more than 21% in one case each. There are several references in the literature that assume frozen shoulder to be an algoneurodystrophic process; our observations support this hypothesis, possibly leading to earlier diagnoses and extended therapeutic management.

Absorptiometry, Photon↗
PubMed1976

[Reflex-dystrophic pseudo-arthritis or Sudeck syndrome (author's transl) ].

Local bone- and tissue dystrophies identical with Sudeck's syndrome and progressing in 3 stages are called reflex dystrophies. In the 1st and 2nd stages complete recovery is possible, in the 3rd stage only irreversible dysptrophic-ankylosing defect-healing. Etiologic significance of causal factors discussed is not certain. In, initially similar, inflammatory and rheumatic arthritis often only the further course and radiologic appearance provide a diagnosis. So far we have no desirable clear definition of reflex dystrophic conditions.

Adult↗
PubMed1988

Bone scintigraphy in post-traumatic reflex dystrophy.

Twenty-five patients presenting consecutively with persistent pain and tenderness, edema, and vasomotor instability in an extremity following trauma to the same extremity were clinically diagnosed as having early post-traumatic reflex dystrophy (PRD). All underwent scintigraphy with 99mTechnetium methylene diphosphonate before institution of prednisolone treatment. The time lag between the occurrence of the initial trauma and scintigraphic imaging averaged 11.5 weeks. Of 25 scintigrams, 24 showed multiple periarticular accentuation in the affected extremity. Scintigraphy is a useful clinical aid to establish the diagnosis of early PRD.

Adult↗