First Experience in one-step Surgical Treatment of Distal Forearm Bones Fractures Complicated by Regional Pain Syndrome


Treatment results for 9 patients with distal forearm fractures complicated by sympathetically dependant type of complex regional pain syndrome were analyzed. After clinical, radiologic examination, laser Doppler flowmetry, computer thermography one-step open reposition of bone fragments with osteosynthesis and perivascular sympathectomy was performed in all patients. Follow-up period made up from 4 to 7 months. Excellent results was achieved in 1 (11%) patient, good - in 7 (78%), satisfactory - in 1 (11%) patient.


  1. Голубев В.Г., Крупаткин А.И., Зейналов В.Т. и др. Новые возможности лечения комплексного регионарного болевого синдрома верхней конечности с помощью торакоскопической симпатэктомии //Вестн. РАМН. - 2008. - N 8. - С. 52-55.
  2. Есаян А.Г. Периартериальная симпатэктомия в комплексном лечении синдрома Зудека: Дис. ... канд. мед. наук. - Ереван, 1987.
  3. Маркс В.О. Ортопедическая диагностика: Руководство-справочник - Минск, 1978. - С. 67-70.
  4. Atkins R.M., Duckworth T., Kanis J.A. Features of algodystrophy after Colles' fracture //J. Bone Jt Surg. - 1990. - Vol. 72B. - P. 105-110.
  5. Bickerstaff D.R., Kanis J.A. Algodystrophy: an under-recognized complication of minor trauma //Br. J. Rheumatology. - 1994. - Vol. 33. - P. 240-248.
  6. Leung K.S., Shen W.Y., Tsang H.K. et al. An effective treatment of comminuted fractures of the distal radius //J. Hand Surg. - 1990. - Vol. 15A. - P. 11-17.
  7. Lidstrom A. Fractures of the distal radius: a clinical and statistical study of end results //Acta Ortop. Scand. - 1959. - Suppl. 41. - P. 79-81, 123-127.
  8. Maleki J., Le Bel A.A., Bennett G.J. et al. Patterns of spread in complex regional pain syndrome, type I (reflex sympathetic dystrophy) //Pain. - 2000. - Vol. 88, N 3. - P. 259-266.
  9. Raja S.N., Grabow T.S. Complex regional pain syndrome I (reflex sympathetic dystrophy) //Anesthesiology. - 2003. - Vol. 96. - P. 1254-1260.
  10. Weksler B., Luketich J.D., Shende M.R. Endoscopic thoracic sympathectomy: at what level should you perform surgery? //Thorac. Surg. Clin. - 2008. - Vol. 18, N 2. - P. 183-191.
  11. Zyluk A. Algodystrophy after fractures of the distal radius //Chirurgia Narzadow Ruchu Ortop. Polska. - 1996. - Vol. 61. - P. 349-355.



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Copyright (c) 2011 Golubev I.O., Krupatkin A.I., Kutepov I.A., Bushuev O.M., Merkulov M.V., Shiryaeva G.N., Maksimov A.A., Golubev I.O., Krupatkin A.I., Kutepov I.A., Bushuev O.M., Merkulov M.V., Shiryaeva G.N., Maksimov A.A.

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