Complex regional pain syndrome following Cedell fracture

Discussion:

Cedell fractures are rare. Complications included malunion, non-union, AVN, and early OA.

Disproportionate pain, swelling, vasomotor instability, and trophic skin changes raise the suspicion of post-traumatic reflex sympathetic dystrophy (complex regional pain syndrome, type 1). Findings relate to hyperemia (increased blood flow and blood pool on bone scan), and peri-articular osteopenia with preservation of joint space.

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