Three cases of type-1 complex regional pain syndrome after elective total hip replacement

Zanotti, Gerardo; Slullitel, Pablo; Buttaro, Martín; Piccaluga, Francisco

doi:10.1051/sicotj/2017038

Cited by 6 publications

(9 citation statements)

References 32 publications

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“…It was not possible to confirm whether the patients in these articles met one or more of the CRPS criteria sets. However, these patients were diagnosed by the authors as having reflex sympathetic dystrophy, algodystrophy or CRPS (Christensen et al, 1982 ; Dirksen et al, 1987 ; Duncan et al, 1988 ; Dwyer, 1952 ; Glick, 1973 ; Glick & Helal, 1976 ; Grundberg, 1996 ; Kalita et al, 2006 , 2016 ; Kinov, 2001 ; Klein & Klein, 1991 ; Poplawski et al, 1983 ; Russek et al, 1953 ; Steinbrocker et al, 1953 ; Sussman, 1952 ; Tountas & Noguchi, 1991 ; Varitimidis et al, 2011 ; Zanotti et al, 2017 ; Zych‐Litwin & Litwin, 2019 ; Zyluk, 1998 ; Zyluk & Puchalski, 2008 ).…”

Section: Resultsmentioning

confidence: 99%

“…28 of 41) included only CRPS patients with affected upper extremities (Ali Taskaynatan et al, 2004 ; Atalay et al, 2014 ; Braus et al, 1994 ; Christensen et al, 1982 ; Dirksen et al, 1987 ; Duncan et al, 1988 ; Dwyer, 1952 ; Eun Young et al, 2016 ; Grundberg, 1996 ; Kalita et al, 2006 , 2016 ; Kim et al, 2016 ; Kinov, 2001 ; Kumowski et al, 2019 ; Lee et al, 2012 ; Lukovic et al, 2006 ; Mowat, 1974 ; Park et al, 2020 ; Rosen & Graham, 1957 ; Russek et al, 1953 ; Sigler & Ensign, 1951 ; Steinbrocker et al, 1953 ; Sussman, 1952 ; Varitimidis et al, 2011 ; Vas & Pai, 2012 ; Winston, 2016 ; Zyluk, 1998 ; Zyluk & Puchalski, 2008 ). Eleven included patients with both upper and lower extremities affected (Barbalinardo et al, 2016 ; Bianchi et al, 2006 ; Glick, 1973 ; Glick & Helal, 1976 ; Jamroz et al, 2020 ; Kozin et al, 1976 , 1981 ; Munts et al, 2010 ; Okada et al, 2002 ; Poplawski et al, 1983 ; Tountas & Noguchi, 1991 ) and only two articles were limited to the lower extremities (Zanotti et al, 2017 ; Zych‐Litwin & Litwin, 2019 ).…”

Section: Resultsmentioning

confidence: 99%

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Glucocorticoid treatment in patients with complex regional pain syndrome: A systematic review

Berg

Bree

Huygen

et al. 2022

European Journal of Pain

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Background and objective The pathophysiology of complex regional pain syndrome (CRPS) is multifactorial, with an exaggerated inflammatory response being the most prominent. Treatment for CRPS is carried out according to the presenting pathophysiological mechanism. Anti‐inflammatory treatment with glucocorticoids is therefore an option. The aim of this study was to systematically review the efficacy of glucocorticoids in CRPS. Databases and data treatment Embase, Medline, Web of Science and Google Scholar were systematically searched for articles focusing on glucocorticoid treatment and CRPS. Screening based on title and abstract was followed by full‐text reading (including reference lists) to determine the final set of relevant articles. Bias was assessed using the revised Cochrane risk‐of‐bias‐tool for randomized trials (Rob2). Results Forty‐one studies were included, which reported on 1208 CRPS patients. A wide variety of glucocorticoid administration strategies were applied, with oral being the most frequently chosen. Additionally, researchers found great heterogeneity in outcome parameters, including clinical symptoms, pain relief and range of motion. The use of glucocorticoids caused an improvement of parameters in all but two studies. In particular, improvement in pain relief and range of motion were reported. Using glucocorticoids in CRPS of longer duration (i.e. more than 3 months) appears to be less effective. Conclusion Based on the present review, there is evidence to support glucocorticoid treatment in CRPS. However, the ideal administration route and dose remain unclear. We therefore recommend future research via an intervention study, as well as studies on the aetiological mechanisms and corresponding optimal treatment because CRPS pathogenesis is only partially understood. Significance Several studies point towards CRPS being an inflammatory response after tissue or nerve damage, with higher levels of pro‐inflammatory cytokines in serum, plasma, cerebrospinal fluid and artificial skin blisters. Inflammation provides a possible role for glucocorticoids in treating CRPS. This systematic review provides a structured overview of glucocorticoid treatment in patients with CRPS. Improvement in pain and range of motion is shown. Systematic review registration number: PROSPERO‐CRD42020144671.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Glucocorticoid treatment in patients with complex regional pain syndrome: A systematic review

Berg

Bree

Huygen

et al. 2022

European Journal of Pain

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“…However, further issues should be considered when handling a painful HRA, mainly the ALVAL reaction with pseudotumor formation secondary to metal ion release and possible femoral neck stress fractures (Su 2020). Although rare, CRPS has been reported to cause unexplained disproportionate pain after total knee and hip arthroplasties (Royeca et al 2019;Zanotti et al 2017;Hossain and Andrew 2010;Söylev and Boya 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, rare extrinsic causes of painful THA have been suggested in the literature, including complex regional pain syndrome (CRPS), which is characterized by pain distal to the site of physical trauma, unproportionate to the procedure performed, and little or no improvement is observed over time (Royeca et al 2019;Zanotti et al 2017;Hossain and Andrew 2010;Söylev and Boya 2016). The current case report describes a rare presentation of CRPS after multiple THA revision surgeries.…”

Section: Introductionmentioning

confidence: 93%

Complex regional pain syndrome after multiple revision total hip arthroplasty surgeries

2023

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Background Persistent pain after total hip arthroplasty (THA) is a real concern for the surgeon and is a significant cause of patient dissatisfaction; periprosthetic joint infection (PJI), aseptic loosening, and instability are among the common causes of painful THA. However, few rare causes have been reported in the literature; the complex regional pain syndrome (CRPS) was reported to occur after primary hip and knee arthroplasties. Case presentation: We present a female patient who had bilateral hip resurfacing when she was 28 years old after being diagnosed with bilateral hip avascular necrosis; over 16 years, she was satisfied. She started developing pain in her right hip in 2019, diagnosed as aseptic loosening, and a revision using a cementless THA was performed. Six months later, she was diagnosed with PJI, which was treated in two stages; after the first-stage revision THA, the patient complained of persistent pain in her lower leg with a burning sensation and change in skin color, not responding to conservative lines. During the second-stage revision THA and after receiving spinal anesthesia, the skin color of the right lower limb changed to normal. The postoperative diagnosis was made as CRPS, treated effectively with sympathetic block. At six months postoperative, the patient was pain-free, and the implants showed proper position. Conclusions: Although rare, CRPS could cause persistent pain after repeated hip surgeries, and the diagnosis is reached mainly by exclusion.

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“…Özellikle, kalça protezi sonrası geçmeyen ve sebebi bulunamayan ağrılı kalçalarda dikkate alınmalıdır. [6,8,23] Tanıda, klinik bulgular yanında; direkt grafilerdeki mineral kaybının gösterilmesi ve özellikle de üç fazlı kemik sintigrafisinde tipik bulguların ortaya konması yararlıdır. [23] Tedavi multidisipliner olarak düzenlenmelidir.…”

Section: Nadi̇r Kalça Ağrisi Nedenleri̇unclassified

Ağrılı ve sorunlu total kalça artroplastisi yönetimi

Arazi¹,

Kütahya²

2021

TOTBID

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Three cases of type-1 complex regional pain syndrome after elective total hip replacement

Cited by 6 publications

References 32 publications

Glucocorticoid treatment in patients with complex regional pain syndrome: A systematic review

Glucocorticoid treatment in patients with complex regional pain syndrome: A systematic review

Complex regional pain syndrome after multiple revision total hip arthroplasty surgeries

Ağrılı ve sorunlu total kalça artroplastisi yönetimi

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