Is there an Association between Psychological Factors and Developing Complex Regional Pain Syndrome after an Ankle Fracture?

Abstract

Category:Ankle, Trauma, Mental HealthIntroduction/Purpose:Recognizing psychological risk factors for developing Complex Regional Pain Syndrome (CRPS) may facilitate the diagnosis of CRPS and can be critical in its prevention and treatment. The purpose of this study was to evaluate the association between psychological dysfunction and developing CRPS after sustaining an ankle fracture.Methods:The PearlDiver patient record database was used to identify patients who sustained an ankle fracture between 2005 and 2015. These patients were screened for development of CRPS based on the presence or absence of psychological disorders including anxiety disorder, bipolar disorder, delirium, psychosis, depression, chronic pain syndrome, and fibromyalgia. A substratification analysis was performed assessing the additional risk of developing CRPS by undergoing operative versus nonoperative management.Results:163,529 patients were identified who sustained an ankle fracture and CRPS was identified in 10,127 (6.2%) of thes...