4 CASES OF REFLEX SYMPATHETIC DYSTROPHY S YNDROME OF THE LOWER-LIMBS WITH FRACTURES

Citation
D. Lechevalier et al., 4 CASES OF REFLEX SYMPATHETIC DYSTROPHY S YNDROME OF THE LOWER-LIMBS WITH FRACTURES, La Semaine des hopitaux de Paris, 73(31-32), 1997, pp. 1000-1004
Citations number
18
Categorie Soggetti
Medicine, General & Internal
ISSN journal
00371777
Volume
73
Issue
31-32
Year of publication
1997
Pages
1000 - 1004
Database
ISI
SICI code
0037-1777(1997)73:31-32<1000:4CORSD>2.0.ZU;2-0
Abstract
Four cases of reflex sympathetic dystrophy syndrome (RSDS) of the lowe r limbs in which a fracture occurred as a complication are reported. T he RSDS involved the medial femoral condyle in one case, the distal ti bial metaphysis in one case, and the talus in two cases, The fracture was responsible for mechanical pain in three cases, In the remaining p atient, the fracture was an unexpected finding on a follow-up magnetic resonance imaging study done in the absence of any suggestive symptom s, Poorly visible trabecular sclerosis was seen in two patients on rad iographs obtained some time after symptom onset, In two cases, the pat tern of increased radionuclide uptake changed to dot-like or linear, P ersistence, local recurrence, and migration of RSDS are the differenti al diagnoses of fractures complicating RSDS, RSDS of the lower limbs i s responsible for transient regional osteoporosis that is associated w ith an increase risk of fracture.