[Complex regional pain syndrome].

Autor: Luthi F; Service de réadaptation de l'appareil locomoteur, Clinique romande de réadaptation suvacare, Grand-Champsec 90, 1950 Sion., Buchard PA; Service ambulatoire, Clinique romande de réadaptation suvacare, Grand-Champsec 90, 1950 Sion., Cardenas A; Service de physiothérapie, Clinique romande de réadaptation suvacare, Grand-Champsec 90, 1950 Sion., Favre C; Service de psychosomatique, Clinique romande de réadaptation suvacare, Grand-Champsec 90, 1950 Sion., Fédou M; Service de réadaptation professionnelle, Clinique romande de réadaptation suvacare, Grand-Champsec 90, 1950 Sion., Foli M; Service d'ergothérapie, Clinique romande de réadaptation suvacare, Grand-Champsec 90, 1950 Sion., Savoy J; Service de psychosomatique, Clinique romande de réadaptation suvacare, Grand-Champsec 90, 1950 Sion., Turlan JL; Service de neuroréadaptation, Clinique romande de réadaptation suvacare, Grand-Champsec 90, 1950 Sion., Konzelmann M; Service de réadaptation de l'appareil locomoteur, Clinique romande de réadaptation suvacare, Grand-Champsec 90, 1950 Sion.
Jazyk: francouzština
Zdroj: Revue medicale suisse [Rev Med Suisse] 2019 Feb 27; Vol. 15 (640), pp. 495-502.
Abstrakt: The Complex Regional Pain Syndrome (previously algodystrophy) is a rare affliction that usually affects a distal extremity (hand, foot). It occurs most frequently within weeks following a traumatic injury or stroke. It is a syndromic entity whose diagnosis is based on precise criteria, known as the Budapest criteria, excluding any disease that better explains the symptoms. The treatment must be given early. Functional restoration (physiotherapy, occupational therapy) is at the heart of the treatment, along with psychoeducation. Inappropriate disuse and avoidance, often encountered, must be combated. Bisphosphonates or steroids are first-line drugs at early stages. The evolution is often long, but the prognosis is favorable in about 75 % of cases (≤ 1 year).
Competing Interests: les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.
Databáze: MEDLINE