The risk of pain syndrome affecting a previously non-painful limb following trauma or surgery in patients with a history of complex regional pain syndrome
Copyright © 2016 Scandinavian Association for the Study of Pain. Published by Elsevier B.V. All rights reserved..
BACKGROUND AND PURPOSE: Complex regional pain syndrome (CRPS) is a challenging complication after surgery or trauma. This study sought to determine the incidence of CRPS after a second inciting event in a previously unaffected extremity in patients with a history of an ongoing CRPS diagnosis in another extremity.
METHODS: A retrospective review identified patients with CRPS seen in clinic over a 20-month period. The incidence of CRPS after subsequent surgery or injury in a previous unaffected extremity was determined and compared to an average incidence reported in the literature.
RESULTS: Ninety-three patients had a diagnosis of primary CRPS. Nineteen (20.4%) developed CRPS in one or more additional extremity compared to the incidence of 23.4 per 100,000 (0.0234%) in the literature (odds ratio 1069.6, p<0.0001, 95% CI 562.0-2035.7). Twenty patients had a documented secondary injury or surgery in a second extremity. Fifteen (75%) developed secondary CRPS compared to a CRPS incidence rate of 6.4% following distal radius fracture, as determined by literature review (odds ratio 11.7, p<0.001, 95% CI 5.9-23.2).
CONCLUSIONS: These result suggest that patients with a history of CRPS are more likely to develop secondary CRPS compared to the rates reported in the literature among the general population.
IMPLICATIONS: Patients with a history of CRPS should be counselled that they may be at risk for developing secondary CRPS if they undergo surgery or sustain trauma to another extremity.
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:14 |
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| Enthalten in: |
Scandinavian journal of pain - 14(2017) vom: 29. Jan., Seite 84-88 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Satteson, Ellen S [VerfasserIn] |
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| Links: |
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| Themen: |
Causalgia |
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| Anmerkungen: |
Date Completed 11.12.2018 Date Revised 06.05.2021 published: Print-Electronic CommentIn: Scand J Pain. 2017 Jan;14:82-83. - PMID 28850440 Citation Status MEDLINE |
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| doi: |
10.1016/j.sjpain.2016.10.005 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM275229270 |
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| 100 | 1 | |a Satteson, Ellen S |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The risk of pain syndrome affecting a previously non-painful limb following trauma or surgery in patients with a history of complex regional pain syndrome |
| 264 | 1 | |c 2017 | |
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| 500 | |a Date Completed 11.12.2018 | ||
| 500 | |a Date Revised 06.05.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Scand J Pain. 2017 Jan;14:82-83. - PMID 28850440 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2016 Scandinavian Association for the Study of Pain. Published by Elsevier B.V. All rights reserved. | ||
| 520 | |a BACKGROUND AND PURPOSE: Complex regional pain syndrome (CRPS) is a challenging complication after surgery or trauma. This study sought to determine the incidence of CRPS after a second inciting event in a previously unaffected extremity in patients with a history of an ongoing CRPS diagnosis in another extremity | ||
| 520 | |a METHODS: A retrospective review identified patients with CRPS seen in clinic over a 20-month period. The incidence of CRPS after subsequent surgery or injury in a previous unaffected extremity was determined and compared to an average incidence reported in the literature | ||
| 520 | |a RESULTS: Ninety-three patients had a diagnosis of primary CRPS. Nineteen (20.4%) developed CRPS in one or more additional extremity compared to the incidence of 23.4 per 100,000 (0.0234%) in the literature (odds ratio 1069.6, p<0.0001, 95% CI 562.0-2035.7). Twenty patients had a documented secondary injury or surgery in a second extremity. Fifteen (75%) developed secondary CRPS compared to a CRPS incidence rate of 6.4% following distal radius fracture, as determined by literature review (odds ratio 11.7, p<0.001, 95% CI 5.9-23.2) | ||
| 520 | |a CONCLUSIONS: These result suggest that patients with a history of CRPS are more likely to develop secondary CRPS compared to the rates reported in the literature among the general population | ||
| 520 | |a IMPLICATIONS: Patients with a history of CRPS should be counselled that they may be at risk for developing secondary CRPS if they undergo surgery or sustain trauma to another extremity | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Causalgia | |
| 650 | 4 | |a Chronic regional pain syndrome | |
| 650 | 4 | |a Reflex sympathetic dystrophy | |
| 700 | 1 | |a Harbour, Patrick W |e verfasserin |4 aut | |
| 700 | 1 | |a Koman, L Andrew |e verfasserin |4 aut | |
| 700 | 1 | |a Smith, Beth P |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Zhongyu |e verfasserin |4 aut | |
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