Ahmet BOYACİ, Ahmet TUTOĞLU, Fatma Nurefşan BOYACI, Saban YALÇIN

Distal falanks kırığı sonrası kompleks bölgesel ağrı sendromu tip 1 gelişimi: Olgu sunumu

Kompleks bölgesel ağrı sendromu (KBAS), genellikle ekstremitelerde ağrı, şişlik, kısıtlı eklem hareket açıklığı, vazomotor ins- tabilite ve yamalı kemik demineralizasyonu ile karekterize bir hastalıktır. Bu olgu sunumunda sol el dördüncü parmak distal falanks kırığından iki ay sonra sol elinde şişlik, ağrı, hareket kısıtlılığı şikayetleri başlayan, yapılan değerlendirmeler sonucun- da KBAS tip 1 tanısı alan 46 yaşındaki kadın hasta sunulmuştur. Hastanın tedavisinde kalsitonin, gabapentin, kalsiyum ve D3 vitamini, retrograd ödem masajı, kontrast banyo, konvansiyonel TENS, kesikli ultrason, desensitizasyon ve eklem hareket açıklığı egzersizi ile şikayetlerinde azalma kaydedilmiştir. Üst ekstremite ağrılarının ayrıcı tanısında distal falanks kırığından sonra gelişen KBAS tip 1 akılda tutulmalıdır.

Complex regional pain syndrome type 1 after fracture of distal phalanx: case report

Complex Regional Pain Syndrome (CRPS) is a disease characterized especiall y by pain, swelling, limited range of motion, vasomotor instability and patchy bone demineralization in the extremities. In this case, we report a 46-year-old woman diagnosed with CRPS type 1, whose complaints, such as swelling in the left hand, pain, and limitation of movement, started 2 months after a fracture of the distal phalanx in the left 4th finger. Her complaints were reduced with treatment of calcitonin, gabapentin, calcium and vitamin D3, retrograde edema massage, contrast baths, conventional TENS, pulsed ultrasound, desensitization and exercise with range of joint motion. CRPS type 1 should be considered in the di fferential diagnosis of upper limb pains which start after a fracture of the distal phalanx.

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