Presentation
Sustained a fall resulting in right distal radius and ulnar styloid process fractures six weeks earlier, which was surgically stabilized. Ongoing pain and limited movement.
Patient Data
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Volar locking plate in situ. Diffuse patchy, largely subperiosteal osteopenia can be observed (see key image), primarily affecting the carpal bones. These features are highly suggestive of CRPS.
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Apart from the impacted Colles fracture, and the fracture of the ulnary styloid process, the bones displayed initially a normal structure.
Case Discussion
Typical presentation of type 1 (as no underlying nerve lesion was identified) CRPS that developed after a fracture.