Complex Regional Pain Syndrome and Distal Radius Fracture: Etiology, Diagnosis, and Treatment.

Hand Clin · May 2021 · Review

Dutton LK, Rhee PC

Department of Orthopedic Surgery, Mayo Clinic, 200 1st Street Southwest

Hand & Upper Extremity Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis review covers the etiology, diagnosis, and treatment of complex regional pain syndrome complicating distal radius fractures, highlighting persistent controversy over optimal prevention and management strategies.
Abstract, as published

Complex regional pain syndrome (CRPS) is a chronic pain condition characterized by a constellation of signs and symptoms including pain out of proportion to the injury or insult, autonomic dysfunction, trophic changes, and impaired function. CRPS may occur following either conservative or surgical management of distal radius fractures and can significantly complicate the trajectory of a patient's recovery. Although the incidence, diagnosis, prevention, and treatment of this condition have been extensively studied, optimal methods to identify, prevent, and treat this condition remain controversial. This article reviews the available literature on the diagnosis and treatment of CRPS in distal radius fractures.

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