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reflex sympathetic dystrophy


Sudeck dystrophy, causalgia, shoulder-hand syndrome, post-traumatic osteoporosis

  • pain, tenderness, soft tissue swelling out of proportion to injury
  • vasomotor instability (Raynaud, vasoconstriction/-dilation)
  • end stage (6-12 months): contractures, atrophy (skin and soft tissues)
  • location: hands and feet distal to injury

etiology
  • injury (fracture, frost bite; may be trivial)
  • immobilization
  • infection
  • myocardial infarction

findings
  • periarticular soft tissue swelling
  • patchy dimineralization
  • increased uptake (periarticular) on bone scan
  • perfusion and blood pool phases not sensitive


Yong H. Hahn, MD  -  2 February 1995
Last updated:  1 October 2013


 

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hypoplastic left heart syndrome
Cowden syndrome
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Copyright © 2013, Charles E. Kahn, Jr.