Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients

  title={Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients},
  author={P H Veldman and H. M Reynen and Ivo E. Arntz and R. Jan A. Goris},
  journal={The Lancet},

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Clinical aspects of reflex sympathetic dystrophy
Early symptoms of reflex sympathetic dystrophy are those of an inflammatory reaction and not of a disturbance of the sympathetic nervous system, and support the concept of an exaggerated regional inflammatory response to injury or operation in RSD.
[Reflex sympathetic dystrophy].
Reflex sympathetic dystrophy should be included as part of the differential diagnosis of limb pains of childhood, so that physicians can make an earlier diagnosis and prevent functional impairment.
Reflex sympathetic dystrophy
Complex Regional Pain Syndromes: Including “Reflex Sympathetic Dystrophy” and “Causalgia”
Clinical experience supports early intervention with sympatholytic procedures (pharmacological or nerve block techniques), but further scientific data is required to confirm the appropriate timing and relative efficacy of different procedures.
Fortnightly Review: Reflex sympathetic dystrophy
Reflex sympathetic dystrophy indicates the syndrome of a painful, swollen, discoloured, abnormally sensitive, and useless extremity, usually developing after trauma, and first described as a
Reflex Sympathetic Dystrophy Following Knee Surgery
D Disorders considered to be RSD and causalgia are now classified under the term complex regional pain syndrome (CRPS) and are based entirely on clinical criteria.
The Relation Between Reflex Sympathetic Dystrophy Syndrome and Trauma Severity in Patients With Distal Tibia Fracture
The results suggest no significant relationship between the severity of injury and risk of RSD occurrence, although the mean injury severity score was higher in patients with RSD than in those without RSD in this study population.
Complex regional pain syndrome.
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Although the primary etiology for CRPS is not clearly understood, key progress has been made in terms of establishing a psychological as well as therapeutic treatment plan once the diagnosis has be made.
NOSOLOGICAL ENTITIES ? Reflex sympathetic dystrophy
This condition has had many synonyms, including minor causalgia, post-traumatic vasomotor disorder, Sudeck’s atrophy (a term which, strictly speaking, applies to the radiological appearance of osteoporosis), algodystrophy, and reflex sympathetic dystrophy.
Reflex sympathetic dystrophy: a retrospective epidemiological study of 168 patients
The management period is long and this causes higher therapeutic costs in addition to loss of productive effort, however, response to therapy is good and in approximately one third of the patients, RSD does not improve despite all therapeutic interventions.


The treatment of reflex sympathetic dystrophy syndrome: current concepts.
There is a consensus that the best results will be achieved if treatment is started early and adapted to the clinical stage of the disease, and proper management may result in the prevention of crippling sequelae.
Bone scintigraphy in the reflex sympathetic dystrophy syndrome.
Of 11 patients with serial scintigraphy, six demonstrated a return to normal, symmetrical patterns following successful therapy, suggesting the scan may reflect an active, potentially reversible disorder of local blood flow in RSDS.
Reflex sympathetic dystrophy in children. Clinical characteristics and follow-up of seventy patients.
Conservative treatment with physical therapy, transcutaneous electrical nerve stimulation, psychological therapies including cognitive-behavioral management and relaxation training, and tricyclic anti-depressants was effective in improving the average scores for pain and function for forty patients.
Reflex sympathetic dystrophy syndrome of the upper extremity: analysis of total outcome of management of 125 cases.
Case histories of 125 patients with reflex sympathetic dystrophy syndrome of the upper extremity seen from July 1973 to March 1976 were reviewed and it was found that 4 patients had died; 77 replied.
Reflex sympathetic dystrophy in the hands: clinical and scintigraphic criteria.
It is concluded that TPBS could provide an objective marker for RSD, and it could also be used to exclude RSD in patients who had less specific signs and symptoms.
The shoulder-hand syndrome: historical review with observations on seventy-three patients.
In 1947, Steinbrocker'l reviewed the literature and described the syndrome in detail and introduced the term shoulder-hand syndrome, which has been applied to a symptom complex comprising stiffness or pain in the shoulder associated with pain and swelling of the hand.