Sudeck's atrophy

Case contributed by Dr Ian Bickle

Presentation

Prolonged stay in ICU due to alternative medical condition. Complains of pain in the left foot and mild swelling.

Patient Data

Age: 35 years old
Gender: Female
X-ray

Diffuse periarticular osteopenia involving the midfoot and all the joints of the forefoot.

Joint spaces maintained.

Case Discussion

Sudeck's atrophy (a.k.a. complex regional pain syndrome) often occurs in the setting of prolonged disuse of a region of the body - the feet and hands being prime sites.

Plain film features include:

- diffuse periarticular osteopenia

- maintained joint spaces

- soft tissue swelling.

The appearances are rather Aunt Minnie in nature, especially in the right clinical context.

 

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Case information

rID: 30121
Published: 21st Jul 2014
Last edited: 16th Jul 2018
Tag: sudecks
Inclusion in quiz mode: Included

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