Sudeck syndrome — current understanding of pathogenesis, risk factors, diagnosis and treatment (literature review)
https://doi.org/10.32885/2220-0975-2020-1-2-168-179
Abstract
One of the serious complications after limb injuries is the development of Sudeck–Turner syndrome (refl ex sympathetic dystrophy). The pathology development frequency has recently increased, and varies, according to various literary sources, from 5 to 40 %. The pathology has a progressing nature, and is accompanied by chronic pain, impaired limb function, trophic disorders, gradual deformation of the limb, the development of osteoporosis, stiffness of adjacent joints, and often ends with the patient disability. Patients of this category have a long time treatment (up to 4–6 or more months after removal of immobilization). Various methods of conservative treatment are used: drug therapy, physiotherapy, exercise therapy, blockade, and finally with prolonged and unsuccessful conservative therapy, various types of surgical techniques. But even for the entire complex of modern treatment methods applying the outcome could be unfavorable - contracture develops. So the severity and duration of the disease, the treatment low efficiency, the unpredictability of the pathological process outcome forces traumatologists to look for new treatment methods.
About the Authors
G. I. Mikhnov
Center for Osteopathy of Dr. Kovalenko
Russian Federation
Russian Federation
osteopathic physician,
Samara
D. B. Miroshnichenko
Saint-Petersburg State University
Russian Federation
Russian Federation
assistant of the Institute of Osteopathy,
bld. 7/9 Universitetskaya nab., Saint-Petersburg, 199034
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Review
For citations:
Mikhnov G.I., Miroshnichenko D.B. Sudeck syndrome — current understanding of pathogenesis, risk factors, diagnosis and treatment (literature review). Russian Osteopathic Journal. 2020;(1-2):168-179. (In Russ.) https://doi.org/10.32885/2220-0975-2020-1-2-168-179
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