Complex regional pain syndrome - type 1

Case contributed by Dr Balint Botz

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

Age: 40
Gender: Female
X-ray

Control x-ray 6 weeks after the initial injury

Diffuse patchy, largely subperiosteal osteopenia can be observed (see key image), primarily affecting the carpal bones. These features are highly suggestive of CRPS. 

X-ray

Initial x-ray for comparison

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. 

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Case information

rID: 62576
Published: 23rd Aug 2018
Last edited: 24th Aug 2018
Inclusion in quiz mode: Included
Institution: University of Pécs

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