Pain is a frequent problem following recent traumatic spinal cord injury (SCI). Of specific concern in the rehabilitation setting is function-limiting hand pain which prevents optimal participation in therapy and limits independence. A treatable etiology of function-limiting hand pain in SCI is the reflex sympathetic dystrophy syndrome (RSDS). The presentation of RSDS in patients with recent SCI can be easily confused with that of dysesthetic (central origin) or radicular pain. Previous reports of RSDS associated with recent traumatic SCI have not been based on specific clinical criteria outlined in recent literature, and treatment has not been evaluated by objective outcome measures. This report describes 5 cases of RSDS associated with recent traumatic SCI that are identified by specific clinical criteria and are confirmed by a 3 phase bone scan. It is suggested that aggressive early intervention is necessary to obtain optimal functional outcome and minimize length of hospital-based rehabilitation.

译文

:疼痛是最近的创伤性脊髓损伤(SCI)之后的常见问题。在康复环境中,特别需要关注的是功能受限的手部疼痛,这会妨碍最佳地参与治疗并限制独立性。 SCI中一种限制功能性手痛的可治疗病因是反射性交感神经营养不良综合征(RSDS)。患有新近SCI的患者的RSDS表现很容易与感觉异常(中心性起源)或神经根性疼痛相混淆。先前与近期创伤性SCI相关的RSDS的报道尚未基于近期文献中概述的特定临床标准,并且尚未通过客观的结局指标评估治疗方法。该报告描述了5例与最近的创伤性SCI相关的RSDS病例,这些病例通过特定的临床标准进行了鉴定,并通过3期骨扫描得以证实。建议积极的早期干预对于获得最佳的功能预后并最大程度地减少医院康复的时间是必要的。

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