Dystrophiesyndrom nach Fußverletzungen

Abstract

The term "complex regional pain syndrom type I and II (CRPS I, II)", introduced by the IASP (International Association for the Study of Pain), has been in use since 1993. CRPS I is used to mean posttraumatic dystrophic changes with no manifest neural lesions, while CRPS II arises following injury to a peripheral nerve. The variable clinical picture in this condition, with both autonomic sensory impairment and motor problems, makes the diagnosis very difficult, especially in the early stage immediately after the trauma is sustained. Early diagnosis is essential if therapy is to be successful and chronic impairments or very long courses of illness are to be avoided. In the present paper the different options available for diagnosis (clinical examination, conventional X-ray, scintigraphy, MRI, sympathetic nerve block) and treatment of dystrophic changes following foot injuries are discussed. © Springer-Verlag 2004.