J L Osma-Rueda, J Amaya-Mujica, E Berdugo-Pereira, M V Chaparro-Merchán
{"title":"Clinical course of a complex regional pain syndrome type II in upper limb.","authors":"J L Osma-Rueda, J Amaya-Mujica, E Berdugo-Pereira, M V Chaparro-Merchán","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>the complex regional pain syndrome type II, also called causalgia, is a rare clinical condition that appears after a traumatic or surgical event with evidence of nervous system involvement. Its clinical presentation is the consequence of a multifactorial pathogenic process that involves peripheral and central mechanisms and has variable clinical manifestations. We present the photographic record of a patient with complex regional syndrome type II.</p><p><strong>Clinical case: </strong>43-year-old patient who consulted for neuropathic pain during the last four years, of severe intensity, associated with sensory, vasomotor and trophic changes in the right upper limb, as a consequence of neurectomy of the palmar digital nerves of the third finger.</p><p><strong>Conclusion: </strong>achieving the photographic record of the clinical phases of complex regional pain syndrome type II in its entirety is difficult, because not all patients present all clinical phases, a fact that gives relevance to this case.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"37 4","pages":"244-247"},"PeriodicalIF":0.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta ortopedica mexicana","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Introduction: the complex regional pain syndrome type II, also called causalgia, is a rare clinical condition that appears after a traumatic or surgical event with evidence of nervous system involvement. Its clinical presentation is the consequence of a multifactorial pathogenic process that involves peripheral and central mechanisms and has variable clinical manifestations. We present the photographic record of a patient with complex regional syndrome type II.
Clinical case: 43-year-old patient who consulted for neuropathic pain during the last four years, of severe intensity, associated with sensory, vasomotor and trophic changes in the right upper limb, as a consequence of neurectomy of the palmar digital nerves of the third finger.
Conclusion: achieving the photographic record of the clinical phases of complex regional pain syndrome type II in its entirety is difficult, because not all patients present all clinical phases, a fact that gives relevance to this case.
导言:II 型复杂区域疼痛综合征又称因果痛,是一种罕见的临床病症,在创伤或手术后出现,有证据表明神经系统受累。其临床表现是多因素致病过程的结果,涉及外周和中枢机制,临床表现各异。我们展示了一名复杂区域综合征 II 型患者的照片记录:43岁的患者,在过去四年中因神经病理性疼痛就诊,疼痛剧烈,伴有右上肢感觉、血管运动和营养性改变,是第三指掌侧数字神经切除术的后果。结论:要完整记录II型复杂区域疼痛综合征的临床阶段是很困难的,因为并非所有患者都会出现所有临床阶段,这一事实使本病例具有现实意义。