Martínez-Molina O, Vázquez-García J, Atlitec-Castillo P, Calzada-Chong C, León-Sánchez R

Language: Spanish
References: 18
Page: 39-42
PDF size: 45.66 Kb.

ABSTRACT

In present paper, we make a bibliographical review in relation to the diagnose and treatment of reflex sympathetic dystrophy of the knee, trying to embrace the aspects for their physiopathology as well as to the different treatments proposed for this entity. Treatment is by intraoseal decompression and calcitonin administration, evaluating the results obtained in 10 patients. The intraoseal decompression was a procedure, initially made by Ficat, in the 70s, well-known as decompression type CORE, having managed 15 patients and later on he abandoned this technique. We recapture the procedure, based on the new well-known data in the physiopatology of the dystrophy. In spite of calcitonin has been already used for this purpose, association to decompression is new. Clinical results and radiographics in our patients have been excellent, there being changing completely the one clinical pattern toward the total remission, and overalls having achieved a change radiographics signs with a reversion of the path osteoporosis in 100% of the cases.

REFERENCES

1. Arlet: Histiopathology of bone and cartilage lesions in reflex sympathetic dystrophy of the knee. (A propos of 16 cases). Rev Rheumat Osteoartic 1981; 48(4): 315-21.

2. Bonica J: Causalgia and other reflex sympathetic dystrophies. The management of pain 2a ed, Philadelphia, Lea & Febiger, 1990: 220-43.

3. Braverman DL, Kern HB, Nagler W: Recurrent spontaneous hemarthrosis associated with reflex sympathetic dystrophy. Arch Phys Med Rehabil 1998; 79(3): 339-42.

4. Cooper DE, DeLee JC, Ramamurthy S: Reflex sympathetic dystrophy of the knee. Treatment using continuous epidural anesthesia. J Bone Joint Surg 1989; 71A(3): 365-69.

5. De Takats G: Reflex sympathetic dystrophy. Med Clin Northam 1965; 49: 117.

6. Dye S, Chew MH: Instructional course lectures, the American Academy of Orthopaedic surgeons: the use of scintigraphy to detect increased osseous metabolic activity about the knee. J Bone Joint Surg 1993; 75A(9): 1388-406.

7. Ficat RP, Hungerford AS: Disorders of the patellofemoral joint. 1a ed. Baltimore: Williams & Wilkins, 1977: 149-69.

8. Hubgerford AS: Reflex sympathetic dystrophy and chondromalacia of the patella. Rev Chir Orthop 1980; 66(4): 259-61.

9. Insall JN: Surgery of the knee, 2a ed, New York: Churchil-Livingstone, 1993: 309-16.

10. Lindenfeld TN, Bach BR, Wojtys EM: Reflex sympathetic dystrophy and pain dysfunction in the lower extremity. J Bone Joint Surg 1996; 78A(12): 1936-44.

11. Rocco AG: Sympathetically maintained pain may be rekindled by surgery under general anesthesia. Anesthesiology 1993; 79: 865.

12. Schneider U, Graf J, Thomsen M: Patellar hypertension syndrome-nomenclature, diagnosis and therapy. Z Orthop Ihre Grenzgeb 1997; 135(1): 70-5.

13. Seale KS: Reflex Sympathetic dystrophy of the lower extremity. Clin Orthop 1989; 243: 80-5.

14. Van Der Laan L, Ter Laak HJ: Complex regional pain syndrome type I (RSD): Pathology of the skeletal muscle and peripheral nerve. Neurology 1998; 51(1): 20-5.

15. Viel EJ, Pelissier J, Eledjam JJ. Sympathetically maintained pain after surgery may be prevented by regional anesthesia. Anesthesiology 1994; 81(1): 265-6.

16. Waldman SD, Waldman KA: Reflex sympathetic dystrophy. Int Med Mag 1990; 11: 62-8.

17. Waldman SD: Innovations in pain management, 1a ed, Orlando, Deutsch press 1990: 4-14.

18. Wilder RT, Berde CB, Holohan M: Reflex sympathetic dystrophy in children. Clinical characteristics and follow up of seventy patients. J Bone Joint Surg 1992: 74A: 910-9.