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Sympathetic Dystrophy after surgery
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10/25/2005 23:46
Frances

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10/25/2005 23:46
Frances

not registered

Sympathetic Dystrophy after surgery

I've created this topic so those who suffer from Reflex Sympathetic Dystrophy in their DC hands can share their experience in one place and help educate our newbies and...me. :-)

I know that Www.rsds.org, and Dr. Eatons website have info on it, but, some personal stories and explanations might be nice to deeper the understanding.

Anyone with experience care to give a brief explanation in medical and or laymans terms as Reflex sympathetic Dystrophy relates to DC?

Thanks,
Frances

12/26/2005 23:57
Frances

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12/26/2005 23:57
Frances

not registered

Sympathetic Dystrophy after surgery

For those out there who know the difference....is RSD the same as the Complex Regional Pain Syndrome that Bob describes in the thread he started entitled ' Still in Pain after 4 months'?

Frances

12/26/2005 23:15
Wolfgang wach

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12/26/2005 23:15
Wolfgang wach

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Sympathetic Dystrophy after surgery

Hi Frances,

here are a few more links that might be interesting:

http://www.ninds.nih.gov/disorders/reflex_sympathetic_dystrophy/reflex_sympathetic_dystrophy.htm

http://www.emedicine.com/orthoped/topic280.htm (also referring to Dupuytren surgery causing RSD)

and, of course, http://www.eatonhand.com/pot/pot009.htm

Regarding the percentage of RSD after Dupuytren surgery below citations are from the Moermans thesis.

Using the Moermans technique:
12.3.1.5 Sympathetic dystrophy
Three patients (all men) developed a severe sympathetic dystrophy (0.9%). They were treated for many weeks (17, 20 and 30). One of them was the only patient in this series whose function was worse after the operation than before.
Usinf classical hand surgery:
15.4.4.5 Sympathetic dystrophy
Two cases (4.4 %) developed a sympathetic dystrophy that imposed a very long revalidation. Even those cases were improved by the operation.

The above cases are by far too few for reliable statistics but my guess is that the typical RSD rate after hand surgery might be 1 - 2 percent.

Wolfgang

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