Appearance of complex regional pain syndrome after intramedullary nailing of a clavicle fracture

被引：0
|
作者：
Stein, G. [1 ]
Skouras, E. [1 ]
Faymonville, C. [1 ]
Thelen, U. [1 ]
Schiffer, G. [1 ]
机构：
[1] Uniklin Koln, Klin Orthopadie & Unfallchirurg, D-50924 Cologne, Germany
来源：
UNFALLCHIRURG | 2011年 / 114卷 / 10期
关键词：
Clavicle fracture; Elastic stable intramedullary nail; Sudeck's syndrome; Intramedullary nailing; Osteosynthesis; NONOPERATIVE TREATMENT; MIGRATION; PIN;
D O I：
10.1007/s00113-011-1998-6
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
After operative correction of a clavicle fracture using an elastic stable intramedullary nail the patient presented signs of delayed fracture healing after 2 months. During the sixth postoperative month the 28-year-old obviously pain-ridden female patient showed dystonia of the shoulder girdle and allodynia surrounding the operation field. Upon these findings, we decided - as a result of the complex regional pain syndrome that had not been previously described in this location - to treat the patient by administering bisphosphonates, multimodal analgetic therapy, physiotherapy and occupational therapy. Fourteen months after surgery, the patient showed no remaining symptoms, and the fracture had consolidated at that time.
引用
收藏
页码：922 / +
页数：4
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