Complex regional pain syndrome type I (shoulder-hand syndrome) in an elderly patient after open cardiac surgical intervention; a case report

Yıl 2011, Cilt: 16 Sayı: 1, 56 - 58, 21.01.2013

Levent Ediz Mehmet Fethi Ceylan Özcan Hız İbrahim Tekeoğlu

Öz

Abstract. We described the first case report in the literature who developed Complex Regional Pain Syndrome (CRPS type I) symptoms in his right shoulder and right hand within 15 days after open cardiac surgery and discussed shoulder-hand syndrome (CRPS type I) and frozen shoulder diagnosis along with  the reasons of no report of CRPS type I in these patients. We also speculated whether  frozen shoulder seen in postthoracotomy and postcardiac surgery patients might be CRPS type I in fact.

Key words: Complex regional pain syndrome, cardiac surgery, frozen shoulder

Anahtar Kelimeler

Complex regional pain syndrome, cardiac surgery, frozen shoulder

Kaynakça

• 1. Jänig W, Baron R. Complex regional pain syndrome: mystery explained? Lancet Neurol 2003; 2: 687-697.
• 2. Bruehl S, Harden RN, Galer BS, et al. Complex regional pain syndrome: are there distinct subtypes and sequential stages of the syndrome? Pain 2002; 95: 119-124.
• 3. Hettne KM, de Mos M, de Bruijn AG, et al. Applied information retrieval and multidisciplinary research: new mechanistic hypotheses in complex regional pain syndrome. J Biomed Discov Collab 2007; 2: 2.
• 4. Schultheis A, Reichwein F, Nebelung W. Frozen shoulder. Diagnosis and therapy Orthopade 2008; 37: 1065-1066, 1068-1072.
• 5. Lee WW, Lee TW, Yim AP. Shoulder function after thoracic surgery. Thorac Surg Clin 2004; 14: 331- 343.
• 6. Tuten HR, Young DC, Douoguih WA, et al. Adhesive capsulitis of the shoulder in male cardiac surgery patients. Orthopedics 2000; 23: 693-696.
• 7. Okada M, Suzuki K, Hidaka T, et al. Complex regional pain syndrome type I induced by pacemaker implantation, with a good response to steroids and neurotropin. Intern Med 2002; 41: 498- 501.
• 8. Mueller XM, Tinguely F, Tevaearai HT, et al. Pain location, distribution, and intensity after cardiac surgery. Chest 2000; 118: 391-396.
• 9. Dias R, Cutts S, Massoud S. Frozen shoulder. BMJ 2005; 331: 1453-1456.
• 10. Müller LP, Müller LA, Happ J, Kerschbaumer F. Frozen shoulder: a sympathetic dystrophy? Arch Orthop Trauma Surg 2000; 120: 84-87.