Incidence of Complex Regional Pain Syndrome after Foot and Ankle Surgery

Rewhorn, Matthew; Leung, Andraay; Gillespie, Alan; Moir, J.S.; Miller, Roslyn

doi:10.1053/j.jfas.2014.01.006

Cited by 54 publications

(28 citation statements)

References 17 publications

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“…In the retrospective work of Rewhorn et al the incidence of CRPS after foot and ankle surgery was 4,36% (17 patients on 390 total). IASP criteria were used to diagnose potential cases of CRPS and 52.94% of cases were in forefoot surgery group, 17,65% in the hindfoot, 17,65% in ankle and 11,76% in midfoot (34). These studies show similar epidemiological aspects (gender and age) with the big retrospective studies of Sandroni and De Mos (38,39).…”

Section: Crps and Surgerymentioning

confidence: 73%

Post-traumatic complex regional pain syndrome: clinical features and epidemiology

Ratti

Nordio

Resmini

et al. 2015

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SummaryComplex Regional Pain Syndrome (CRPS) is a chronic pain condition that occurs after a tissue injury (fractures, sprain, surgery) of the upper or lower extremities. A clear pathophysiological mechanism has not been established yet and different patterns are considered to play a role in the genesis of the disease. The diagnosis is made by different diagnosis criteria and a gold standard has not been established yet. Incidence of CRPS is unclear and large prospective studies on the incidence and prevalence of CRPS are scarce. The aim of this review is to give an overview on the prevalent data regarding this chronic syndrome.

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Section: Crps and Surgerymentioning

confidence: 73%

Post-traumatic complex regional pain syndrome: clinical features and epidemiology

Ratti

Nordio

Resmini

et al. 2015

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“…The clinical phenotype of CRPS has been better defined over the last few decades: diagnostic criteria such as Budapest or Veldman capture these essential clinical features (29,30,31) but no diagnostic tests are available (14). It is noted that, without limb signs, a diagnosis of CRPS according to the Budapest criteria can often not be made (26,31).…”

Section: Complex Regional Pain Síndromementioning

confidence: 99%

“…The most common type of trauma was fracture (45%) whereas neurectomy was the most common type of elective foot surgery. Research reveals middleage females with a history of anxiety or depression have a greater risk of developing CRPS after foot and ankle surgery (29). A recent study identified novel risk factors relating to deep-tissue ischaemia following surgical repair of peripheral fractures, thus providing new insights into one of the triggers of CRPS (39).…”

Section: Two Forms Of Crps Exist (Crps-1 and Crps-ii) With The Same mentioning

confidence: 99%

Complex regional pain syndrome of the foot and its management using spinal cord stimulation

2017

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Objective: This article discusses neuropathic foot pain with particular reference to complex regional pain syndrome. It provides recommendations for the clinical evaluation of complex regional pain syndrome and highlights the value of spinal cord stimulation in its management. The aim is to review neuropathic foot pain in complex regional pain syndrome and outline its management using spinal cord stimulation. It is important for Podiatrists managing such patients to have an understanding of this treatment modality. Methods: A narrative literature review was undertaken using English language medical databases combining search strategies for complex regional pain syndrome and spinal cord stimulation. Results: Spinal cord stimulation improves the subjective symptoms of the neuropathic foot pain of complex regional pain syndrome, enables objective functional improvement and reduces analgesic consumption. Conclusion: Recent technical developments in spinal cord stimulation have led to improved stimulation patterns adapted to the patients' needs. Careful preoperative diagnosis, robust patient selection and frequent follow-up are vital for the success of this method.Key Words: complex regional pain syndrome; spinal cord stimulation; Neuralgia; foot; management. ResumenObjetivos: Este artículo describe el dolor neuropático de los pies con especial referencia al síndrome de dolor regional complejo. Proporciona recomendaciones para la evaluación clínica del síndrome de dolor regional complejo y pone de relieve el valor de la estimulación de la médula espinal en su gestión. El objetivo es revisar dolor en el pie neuropático en el síndrome de dolor regional complejo y resumen de su gestión mediante la estimulación de la médula espinal. Material y métodos: Una revisión de la literatura narrativa se llevó a cabo utilizando bases de datos médicas de idioma Inglés la combinación de estrategias de búsqueda para el síndrome de dolor regional complejo y estimulación de la médula espinal. Resultados: Estimulación de la médula espinal mejora los síntomas subjetivos del dolor neuropático pies del síndrome de dolor regional complejo, permite la mejora funcional objetivo y reduce el consumo de analgésicos. Conclusión: Los avances técnicos recientes en la estimulación de la médula espinal han dado lugar a patrones de estimulación mejoradas adaptaciones a las necesidades del paciente. diagnóstico preoperatorio cuidadosa, la selección de pacientes robusto y seguimiento frecuente son vitales para el éxito de este método. Es importante que los podólogos gestión de estos pacientes a tener una comprensión de esta modalidad de tratamiento.Palabras Clave: Síndrome de dolor regional complejo; estimulación de la médula espinal; neuralgia; pie; administración

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“…The incidence of CRPS is higher after surgery of the upper and lower limbs. Rewhorn et al (25) in a retrospective study of 390 patients who undergone elective foot and/or ankle surgery, reported a diagnosis of CRPS in 4.36% of cases, of which 82% were women. Recently, Roh et al (26), in a prospective observational study of 477 patients, reported CRPS I, according to Budapest criteria, in 42 (8.8%) of them within 6 months of surgery.…”

Section: Epidemiology and Physiopathology Of Crps In Major Orthopaedimentioning

confidence: 99%

Algodystrophy in major orthopaedic surgery

Tarantino¹

2015

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SummaryComplex Regional Pain Syndrome (CRPS) describes a diversity of painful conditions following trauma, associated with abnormal regulation of blood flow and sweating, trophic changes, and edema of skin. Epidemiology of this disease is not convincing because of the difficulties and inaccuracies in the diagnosis. Several mechanisms are involved in the genesis of CRPS. The higher incidence of CRPS in women over 65 suggests that some changes involving natural and pathologic processes of aging predispose to onset a CRPS. Many features of the orthopaedic management (surgical time, immobilization, surgical incision, fracture osteosynthesis or prosthetic implants) might influence inflammation status in different way. It is mandatory to improve the understanding of both the pathogenesis of CRPS and the conditions that play a decisive role in its genesis. Furthermore it is important to find some biomarkers that allow early diagnosis before the onset of typical clinical signs.

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Incidence of Complex Regional Pain Syndrome after Foot and Ankle Surgery

Cited by 54 publications

References 17 publications

Post-traumatic complex regional pain syndrome: clinical features and epidemiology

Post-traumatic complex regional pain syndrome: clinical features and epidemiology

Complex regional pain syndrome of the foot and its management using spinal cord stimulation

Algodystrophy in major orthopaedic surgery

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