title: [Appearance of complex regional pain syndrome after intramedullary nailing of a clavicle fracture].
abstract: After operative correction of a clavicle fracture using an elastic stable intramedullary nail the patient presented signs of delayed fracture healing after 2 months. During the sixth postoperative month the 28-year-old obviously pain-ridden female patient showed dystonia of the shoulder girdle and allodynia surrounding the operation field. Upon these findings, we decided - as a result of the complex regional pain syndrome that had not been previously described in this location - to treat the patient by administering bisphosphonates, multimodal analgetic therapy, physiotherapy and occupational therapy. Fourteen months after surgery, the patient showed no remaining symptoms, and the fracture had consolidated at that time.
authors: Klinik für Orthopädie und Unfallchirurgie, Uniklinik Köln, Kerpener Straße 62, 50924, Köln, Deutschland. gregor.stein@uk-koeln.de
authors: G
authors: G
authors: Stein
authors: E
authors: E
authors: Skouras
authors: C
authors: C
authors: Faymonville
authors: U
authors: U
authors: Thelen
authors: G
authors: G
authors: Schiffer
references: Unfallchirurg. 2008 Aug;111(8):607-12
references: 18512038
references: J Chin Med Assoc. 2006 Apr;69(4):179-83
references: 16689201
references: J Orthop Trauma. 2005 Aug;19(7):504-7
references: 16056089
references: J Bone Joint Surg Am. 1990 Sep;72(8):1262-7
references: 2204634
references: Acta Chir Scand. 1985;151(2):177-9
references: 3890437
references: Pain. 2003 May;103(1-2):199-207
references: 12749974
references: Am J Sports Med. 2009 Feb;37(2):352-9
references: 19118080
references: Acta Orthop. 2007 Jun;78(3):421-3
references: 17611858
references: Vestn Khir Im I I Grek. 1979 Oct;123(10):121-2
references: 505787
references: J Bone Joint Surg Am. 2004 Jul;86(7):1359-65
references: 15252081
references: J Orthop Trauma. 2009 Feb;23(2):106-12
references: 19169102
references: Pain Med. 2010 Sep;11(9):1348-51
references: 20667022
references: Clin J Pain. 2009 Sep;25(7):590-7
references: 19692800
references: Nepal Med Coll J. 2008 Dec;10(4):278-80
references: 19558072
references: JAMA. 1969 Mar 10;207(10):1917
references: 5818314
references: Arch Emerg Med. 1991 Dec;8(4):292-5
references: 1772549
references: Unfallchirurg. 2008 Mar;111(3):197-200
references: 17928980
references: J Bone Joint Surg Am. 2005 Mar;87(3):676-7; author reply 677
references: 15741641