Presentation
Sustained a fall resulting in right distal radius and ulnar styloid process fractures six weeks earlier, which was surgically stabilised. Ongoing pain and limited movement.
Patient Data
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.
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.