tailieunhanh - Báo cáo y học: "CRPS of the upper or lower extremity: surgical treatment outcomes"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: CRPS of the upper or lower extremity: surgical treatment outcomes. | Journal of Brachial Plexus and Peripheral Nerve Injury BioMed Central Research article CRPS of the upper or lower extremity surgical treatment outcomes A Lee Dellon1 Eugenia Andonian2 and Gedge D Rosson 3 Address 1Plastic Surgery and Neurosurgery Johns Hopkins University Baltimore Maryland Suite 370 3333 N. Calvert St. Baltimore Maryland 21218 USA 2Dellon Institute for Peripheral Nerve Surgery Baltimore Maryland Suite 370 3333 N. Calvert St. Baltimore Maryland 21218 USA and 3Division of Plastic Surgery Johns Hopkins University Baltimore Maryland Suite 370 3333 N. Calvert St. Baltimore Maryland 21218 USA Email A Lee Dellon - aldellon@ Eugenia Andonian - gina55_99@ Gedge D Rosson - gedge@ Corresponding author Open Access Published 20 February 2009 Received 27 October 2008 Journal of Brachial Plexus and Peripheral Nerve Injury 2009 4 1 doi 1749-7221 -4-1 Accepted 20 February 2009 This article is available from http content 4 1 1 2009 Dellon et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract The hypothesis is explored that CRPS I the new RSD persists due to undiagnosed injured joint afferents and or cutaneous neuromas and or nerve compressions and is therefore a misdiagnosed form of CRPS II the new causalgia . An IRB-approved retrospective chart review on a series of 100 consecutive patients with RSD identified 40 upper and 30 lower extremity patients for surgery based upon their history physical examination neurosensory testing and nerve blocks. Based upon decreased pain medication usage and recovery of function outcome in the upper extremity at a mean of months follow-up range of 9 to 81 months gave results that were excellent in 40 16 of 40 patients good in