The treatment of complex regional pain syndrome (CRPS) involving upper extremity with continuous sensory analgesia

European Journal of Pain - Tập 7 - Trang 43-47 - 2003
Krunoslav Margić1, Jelka Pirc2
1Department of Plastic and Reconstructive Surgery, General Hospital “dr. Franc Derganc,” Padlih borcev 13, SI-5290 Šempeter pri Gorici, Slovenia
2Department of Anaesthesiology, General Hospital “dr. Franc Derganc,” Padlih borcev 13, SI-5290 Šempeter pri Gorici, Slovenia

Tóm tắt

AbstractContinuous sensory analgesia of brachial plexus (CSA BP) was only occasionally reported to have been used in the treatment of CRPS. In the past four years, we have treated 21 patients with a working diagnosis of CRPS. The treatment was instituted one to six months after inciting injury. All patients were admitted to hospital. In the first two days, the therapy consisted of elevation, cryotherapy, and active exercises. Five patients responded well to this initial physiotherapy (5/21). In 16 cases, no evident improvement was observed and CSA BP was introduced. At follow‐up (3–36 months), the results were: 13/16 (81%) had at least good results (excellent 2, good without any sequelae 5, good with sequelae of initial injury 6, and poor 3).The results were judged as follows: excellent (completely normal hand); good (only temporary pain up to 2 on a 0–10 numeric rating scale; no signs of dysfunction of sympathetic nervous system; ROM of wrist over 50% of normal hand; ROM of fingers excellent or good; and the strength of hand grasp and key pinch over 50% of normal hand measured with dynamometer) and if any of the former criteria was missing, the result was defined as poor.

Tài liệu tham khảo

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European Journal of Pain

Tập 7

43-47

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