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OrthoVellum

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Trauma
intermediate
X-Type

Complex Regional Pain Syndrome (CRPS)

Complications

A 52-year-old female presents 6 weeks after distal radius fracture fixation with disproportionate pain, hand swelling, shiny skin, temperature asymmetry (affected hand warmer), and excessive sweating. She reports allodynia (pain with light touch) and difficulty moving her fingers despite adequate fracture healing. Physical examination reveals edema, increased warmth, hyperalgesia, and decreased range of motion. Budapest criteria assessment confirms symptoms in all 4 categories (sensory, vasomotor, sudomotor/edema, motor/trophic). Regarding complex regional pain syndrome:

Mark each as TRUE or FALSE

A

Budapest criteria require continuing pain disproportionate to injury PLUS symptoms in at least 3 of ...

B

Vitamin C supplementation (500mg daily for 50 days) reduces CRPS incidence by approximately 50% afte...

C

Physiotherapy including graded motor imagery, mirror therapy, and desensitization is the cornerstone...

D

CRPS Type I (reflex sympathetic dystrophy) occurs without nerve injury, while Type II (causalgia) fo...

E

Once CRPS develops, aggressive surgical intervention including sympathectomy is the first-line treat...

Answer the questions to see explanations

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