The Clinical journal of pain · 1992
Reflex sympathetic dystrophy of the stump in below-knee amputees.
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Isakov E, Susak Z, Korzets A
Аннотация
OBJECTIVE: To document the occurrence of reflex sympathetic dystrophy of the stump in two patients with below-knee amputation.
DESIGN: A retrospective survey emphasising two clinical case reports.
SETTING: Department of orthopaedic rehabilitation at a teaching rehabilitation hospital.
PATIENTS: Lower limb amputees (n = 164) were accepted for prosthetic rehabilitation. Twenty-one amputees were regarded as rehabilitation failures; in two below-knee amputees intractable pain was the major problem.
RESULTS: Clinical manifestations, radiological, and scintigraphic findings in the two amputees with intractable pain met the criteria for diagnosis of reflex sympathetic dystrophy.
CONCLUSIONS: Reflex sympathetic dystrophy of the stump should be suspected in below-knee amputees whenever severe pain persists over a period of 3 to 4 months following amputation.
DESIGN: A retrospective survey emphasising two clinical case reports.
SETTING: Department of orthopaedic rehabilitation at a teaching rehabilitation hospital.
PATIENTS: Lower limb amputees (n = 164) were accepted for prosthetic rehabilitation. Twenty-one amputees were regarded as rehabilitation failures; in two below-knee amputees intractable pain was the major problem.
RESULTS: Clinical manifestations, radiological, and scintigraphic findings in the two amputees with intractable pain met the criteria for diagnosis of reflex sympathetic dystrophy.
CONCLUSIONS: Reflex sympathetic dystrophy of the stump should be suspected in below-knee amputees whenever severe pain persists over a period of 3 to 4 months following amputation.