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Hand & Upper Limb
advanced
X-Type

Complex Regional Pain Syndrome of the Hand

Pain Syndromes

A 45-year-old woman presents 8 weeks after closed reduction and casting of a distal radius fracture. She reports severe burning pain in her hand that is disproportionate to the healing fracture. The hand is swollen, warm, and hypersensitive to light touch. She holds the hand in a protective posture and resists examination. Radiographs show patchy osteopenia. She reports disturbed sleep due to pain and feels the treating team has not believed the severity of her symptoms. Regarding Complex Regional Pain Syndrome (CRPS):

Mark each as TRUE or FALSE

A

CRPS is a chronic pain condition characterized by pain disproportionate to the inciting event, accom...

B

The Budapest criteria for CRPS diagnosis require: (1) continuing pain disproportionate to inciting e...

C

CRPS only occurs after major nerve injuries; pain is typically proportionate to the injury; the affe...

D

Clinical features are categorized by the Budapest criteria: SENSORY (allodynia - pain from normally ...

E

Three-phase bone scan may show increased uptake in all three phases in early CRPS (sensitivity 50-75...

Answer the questions to see explanations

Click T (True) or F (False) for each option