[Complex Regional Pain Syndrome (CRPS) - State of the Art in Diagnostics and Therapy].

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Erklärung zu finanziellen Interessen Forschungsförderung erhalten: nein; Honorar/geldwerten Vorteil für Referententätigkeit erhalten: ja, von einer anderen Institution (Pharma- oder Medizintechnikfirma usw.); Bezahlter Berater/interner Schulungsreferent/Gehaltsempfänger: ja, von einer anderen Institution (Pharma- oder Medizintechnikfirma usw.); Patent/Geschäftsanteile/Aktien (Autor/Partner, Ehepartner, Kinder) an im Bereich der Medizin aktiven Firma: ja; Patent/Geschäftsanteile/Aktien (Autor/Partner, Ehepartner, Kinder) an zu Sponsoren dieser Fortbildung bzw. durch die Fortbildung in ihren Geschäftsinteressen berührten Firma: nein Erklärung zu nichtfinanziellen Interessen Dr. Papenhoff: Deutsche Schmerzgesellschaft: Mitglied Ad-hoc-Kommission ehealth und AK Schmerz und Beruf BG Kliniken: Sprecher AG Schmerzmedizin 17. Pain Res Manag. 2022 May 19;2022:9214404. doi: 10.1155/2022/9214404. eCollection 2022. Relative Prevalence and Associated Factors of Complex Regional Pain Syndrome Type I in Patients with Radial Head Fractures Treated with Open Reduction and Internal Fixation: A Cross-Sectional Study. Jia S(1)(2)(3), Ren C(1)(2)(3), Shi X(4), Shi T(1)(2)(3), Sun D(1)(2)(3), Zhang Y(1)(2)(3), Ding K(1)(2)(3), Du H(5), Zhu Y(1)(2)(3), Chen W(1)(2)(3). Author information: (1)Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang 050051, China. (2)NHC Key Laboratory of Intelligent Orthopedic Equipment, The Third Hospital of Hebei Medical University, Shijiazhuang, China. (3)Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei, China. (4)Department of Neurology, Hebei General Hospital, Shijiazhuang 050011, Hebei, China. (5)The First Affiliated Hospital, College of Clinical Medicine of Henan University of Science and Technology, Luoyang 471003, China. OBJECTIVE: This cross-sectional study aimed to examine the incidence and associated factors of complex regional pain syndrome type I (CRPS I) in patients who underwent open reduction and internal fixation (ORIF) for radial head fractures. METHODS: The study enrolled 601 radial head fracture patients treated with ORIF, 523 of which completed the 1-year follow-up. The incidence of CRPS I in those patients was assessed using the Budapest criteria. Patients were then divided into 2 groups: patients with CRPS I (n = 28) and patients without CRPS I (n = 495). The patients' demographic and clinical data before the operation were prospectively collected by our team. Independent t-tests and χ 2 tests were used as univariate analyses to compare the demographic and clinical data between the two groups. Meanwhile, multivariate regression analysis was conducted to identify the associated risk factors for CRPS I. RESULTS: The incidence of CRPS I in patients with radial head fractures treated with ORIF was 5.5% during the first year following surgery. Significant differences were observed in age, gender, type of trauma, modified Mason Classification, and depressive personality disorders. The logistic regression analysis revealed that the female gender, modified Mason type III fractures, and depressive patients were significantly more likely to develop CRPS I (p=0.021, 0.023, and 0.025, respectively). CONCLUSIONS: The incidence of CRPS I among radial head fracture patients undergoing ORIF was 5.5%. In addition, early detection of CRPS I and providing adequate intervention will likely result in greater benefits for those patients. Copyright © 2022 Siming Jia et al. DOI: 10.1155/2022/9214404 PMCID: PMC9135570