Risk factors for complex regional pain syndrome in patients with traumatic extremity injury

Ozaras, Nihal; KARAMEHMETOĞLU, Şafak Sahir; DEMİR, Saliha; KARACAN, ILHAN; aytekin, ebru

Risk factors for complex regional pain syndrome in patients with traumatic extremity injury

Saliha DEMİR, (Vakıf Gureba Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye)

Nihal ÖZARAS, (Vakıf Gureba Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye)

Şafak Sahir KARAMEHMETOĞLU, (İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

İlhan KARACAN, (Vakıf Gureba Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye)

Ebru AYTEKİN (SB İstanbul Eğitim ve Araştırma Hastanesi, Fizik Tedavi ve Rehabilitasyon Kliniği, İstanbul, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

2 1

Yıl: 2010 Cilt: 16 Sayı: 2 Sayfa Aralığı: 144 - 148 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Risk factors for complex regional pain syndrome in patients with traumatic extremity injury

Öz:

AMAÇ Kompleks bölgesel ağrı sendromunun (KBAS), benzer tetikleyici etkenlere maruz kaldığı halde bazı hastalarda geliştiği, bazılarında ise neden gelişmediği konusu açık değildir. Bu çalışmada, üst ekstremitede travmatik yaralanma geçiren kişilerde KBAS risk faktörleri araştırıldı. GEREÇ VE YÖNTEM Çalışmaya ünilateral el veya önkoldan mekanik yaralanma geçiren 165 hasta dahil edildi. Yaş, boy, vücut kitle indeksi, yaralanan doku tipi, yaralanan el/önkol olası risk faktörleri olarak incelendi. BULGULAR Seksen dört olguya KBAS tanısı kondu. Kadın/erkek oranı KBAS?li hastalarda daha yüksek idi. KBAS?li olguların yaş ortalaması daha yüksek idi. Yaralanan el/önkol KBAS?li olguların %64,2?sinde, KBAS olmayan olguların %62,9?unda dominant taraf idi. KBAS sıklığı duyu sinir yaralanması geçirenlerde ve motor sinir yaralanması geçirenlerde geçirmeyenlere göre daha yüksek idi. Lojistik regresyon analizi KBAS riskinin motor sinir yaralanması geçirenlerde ve kadınlarda yüksek olduğunu gösterdi. SONUÇ Bu çalışma, motor sinir yaralanmasının ve kadın olmanın KBAS için risk faktörü olduğunu göstermektedir. KBAS riskini azaltmak için koruyucu önlemlerin bu hastalarda odaklanması yararlı olabilir.

Anahtar Kelime:

Konular: Cerrahi

Travmatik ekstremite yaralanması geçiren olgularda kompleks bölgesel ağrı sendromu risk faktörleri

Öz:

BACKGROUND It is not clear why complex regional pain syndrome (CRPS) develops in some patients but not in others, despite similar initiating events. The aim of this study was to investigate risk factors for CRPS in cases who had suffered traumatic upper extremity injury. METHODS One hundred sixty-five patients who had suffered a mechanical traumatic injury isolated to their hand or forearm were included in this study. Age, gender, body mass index, tissue types injured, and side of affected forearm/hand were investigated as possible risk factors for CRPS. RESULTS CRPS was diagnosed in 84 patients. Female/male ratio was higher in patients with CRPS versus those without. The mean age was higher in patients with CRPS. The affected forearm/hand was the dominant side in 62.9% of patients without CRPS and in 64.2% of patients with CRPS. CRPS incidence was higher in patients with motor nerve injury and in patients with sensory nerve injury. A logistic regression showed that risk for CRPS was higher in patients with motor nerve injury and in females.CONCLUSION This study indicates that motor nerve injury and female gender are risk factors for CRPS. The prevention measures should be focused mainly on females and patients with motor nerve injury in order to reduce the risk of CRPS.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık

1. Jänig W, Baron R. Complex regional pain syndrome: mystery explained? Lancet Neurol 2003;2:687-97.
2. Koban M, Leis S, Schultze-Mosgau S, Birklein F. Tissue hypoxia in complex regional pain syndrome. Pain 2003;104:149-57.
3. Baron R, Schattschneider J, Binder A, Siebrecht D, Wasner G. Relation between sympathetic vasoconstrictor activity and pain and hyperalgesia in complex regional pain syndromes: a case-control study. Lancet 2002;359:1655-60.
4. Ludwig J, Baron R. Complex regional pain syndrome: an infammatory pain condition? Drug Discovery Today: Disease Mechanisms 2004;1:449-55.
5. Scadding J. Complex Regional Pain Syndrome. In: Wall P, Melzack R, editors. Textbook of Pain. New York: Churchill Livingstone; 1999. p. 835-50.
6. Bushnell TG, Cobo-Castro T. Complex regional pain syndrome: becoming more or less complex? Man Ther 1999;4:221-8.
7. McBride A, Atkins R. Complex regional pain syndrome. Current Orthopaedics 2005;19:155-65.
8. Zyluk A. Complex regional pain syndrome type I. Risk factors, prevention and risk of recurrence. J Hand Surg Br 2004;29:334-7.
9. de Mos M, Huygen FJ, Dieleman JP, Koopman JS, Stricker BH, Sturkenboom MC. Medical history and the onset of complex regional pain syndrome (CRPS). Pain 2008;139:458-66.
10. de Mos M, de Bruijn AG, Huygen FJ, Dieleman JP, Stricker BH, Sturkenboom MC. The incidence of complex regional pain syndrome: a population-based study. Pain 2007;129:12-20.
11. Dijkstra PU, Groothoff JW, ten Duis HJ, Geertzen JH. Incidence of complex regional pain syndrome type I after fractures of the distal radius. Eur J Pain 2003;7:457-62.
12. Visser EJ. Chronic post-surgical pain: Epidemiology and clinical implications for acute pain management Acute Pain. 2006;8:73-81.
13. Cheng PT, Hong CZ. Prediction of refex sympathetic dystrophy in hemiplegic patients by electromyographic study. Stroke 1995;26:2277-80.
14. Brown WF, Snow R. Denervation in hemiplegic muscles. Stroke 1990;21:1700-4.
15. Hara Y, Akaboshi K, Masakado Y, Chino N. Physiologic decrease of single thenar motor units in the F-response in stroke patients. Arch Phys Med Rehabil 2000;81:418-23.

APA	DEMİR S, Ozaras N, KARAMEHMETOĞLU Ş, KARACAN I, aytekin e (2010). Risk factors for complex regional pain syndrome in patients with traumatic extremity injury. , 144 - 148.
Chicago	DEMİR Saliha,Ozaras Nihal,KARAMEHMETOĞLU Şafak Sahir,KARACAN ILHAN,aytekin ebru Risk factors for complex regional pain syndrome in patients with traumatic extremity injury. (2010): 144 - 148.
MLA	DEMİR Saliha,Ozaras Nihal,KARAMEHMETOĞLU Şafak Sahir,KARACAN ILHAN,aytekin ebru Risk factors for complex regional pain syndrome in patients with traumatic extremity injury. , 2010, ss.144 - 148.
AMA	DEMİR S,Ozaras N,KARAMEHMETOĞLU Ş,KARACAN I,aytekin e Risk factors for complex regional pain syndrome in patients with traumatic extremity injury. . 2010; 144 - 148.
Vancouver	DEMİR S,Ozaras N,KARAMEHMETOĞLU Ş,KARACAN I,aytekin e Risk factors for complex regional pain syndrome in patients with traumatic extremity injury. . 2010; 144 - 148.
IEEE	DEMİR S,Ozaras N,KARAMEHMETOĞLU Ş,KARACAN I,aytekin e "Risk factors for complex regional pain syndrome in patients with traumatic extremity injury." , ss.144 - 148, 2010.
ISNAD	DEMİR, Saliha vd. "Risk factors for complex regional pain syndrome in patients with traumatic extremity injury". (2010), 144-148.

APA	DEMİR S, Ozaras N, KARAMEHMETOĞLU Ş, KARACAN I, aytekin e (2010). Risk factors for complex regional pain syndrome in patients with traumatic extremity injury. Ulusal Travma ve Acil Cerrahi Dergisi, 16(2), 144 - 148.
Chicago	DEMİR Saliha,Ozaras Nihal,KARAMEHMETOĞLU Şafak Sahir,KARACAN ILHAN,aytekin ebru Risk factors for complex regional pain syndrome in patients with traumatic extremity injury. Ulusal Travma ve Acil Cerrahi Dergisi 16, no.2 (2010): 144 - 148.
MLA	DEMİR Saliha,Ozaras Nihal,KARAMEHMETOĞLU Şafak Sahir,KARACAN ILHAN,aytekin ebru Risk factors for complex regional pain syndrome in patients with traumatic extremity injury. Ulusal Travma ve Acil Cerrahi Dergisi, vol.16, no.2, 2010, ss.144 - 148.
AMA	DEMİR S,Ozaras N,KARAMEHMETOĞLU Ş,KARACAN I,aytekin e Risk factors for complex regional pain syndrome in patients with traumatic extremity injury. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(2): 144 - 148.
Vancouver	DEMİR S,Ozaras N,KARAMEHMETOĞLU Ş,KARACAN I,aytekin e Risk factors for complex regional pain syndrome in patients with traumatic extremity injury. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(2): 144 - 148.
IEEE	DEMİR S,Ozaras N,KARAMEHMETOĞLU Ş,KARACAN I,aytekin e "Risk factors for complex regional pain syndrome in patients with traumatic extremity injury." Ulusal Travma ve Acil Cerrahi Dergisi, 16, ss.144 - 148, 2010.
ISNAD	DEMİR, Saliha vd. "Risk factors for complex regional pain syndrome in patients with traumatic extremity injury". Ulusal Travma ve Acil Cerrahi Dergisi 16/2 (2010), 144-148.