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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(03): e403-e408
DOI: 10.1055/s-0044-1785659
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Mão

Analysis of Surgical Procedures on the Forearm and Hand and Their Relationship with Complex Regional Pain Syndrome: A Cross-sectional Study

Article in several languages: português | English
Caio Carvalho dos Santos Souza 
1   Departamento de Ortopedia e Medicina da Dor, Hospital Bom Samaritano, Maringá, PR, Brasil
,
João Miguel Casado Neto 
1   Departamento de Ortopedia e Medicina da Dor, Hospital Bom Samaritano, Maringá, PR, Brasil
,
Manoel Vítor Maciel Bocchi 
2   Departamento de Ortopedia e Cirurgia da Mão, Hospital Bom Samaritano, Maringá, PR, Brasil
,
Danielle Horing Grubert 
3   Departamento de Ortopedia e Traumatologia, Associação Beneficente Bom Samaritano, Maringá, PR, Brasil
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Abstract

Objective Complex regional pain syndrome (CRPS) requires further understanding. Thus, the present study aimed to analyze if pre- and intraoperative factors may be related to the development of CRPS in the postoperative period.

Methods We reviewed 1,183 medical records of patients undergoing forearm and hand surgeries from 2015 to 2021. The data of interest, that is, diagnosis, incisions, synthesis material, and anesthesia, were collected, tabulated, and statistically analyzed, with subsequent calculation of the odds ratios.

Results Most patients were female, aged between 30 and 59 years, and sought the service electively (67% of the cases). The diagnoses included soft tissue trauma (43%), bone trauma (31.6%), and compressive syndromes (25.5%). During this period, 45 (3.8%) subjects developed CRPS. The statistical analysis showed that the chance of developing CRPS is twice as high in patients with compressive syndrome, especially carpal tunnel syndrome (CTS), which represented most surgeries performed in our service (24%). Two or more incisions occurred in 7.6% of the cases, which tripled the chance of developing postoperative CRPS. Gender, age, use pf synthetic material, type of anesthesia type did not statistically increase the risk of developing postoperative CRPS.

Conclusion In short, the incidence of CRPS is low; however, it is critical to know and recognize the risk factors for prevention and active screening in the postoperative period.

Keywords

carpal tunnel syndrome - complex regional pain syndromes - hand injuries - nerve compression syndromes - orthopedic precedures

Financial Support

The authors declare that they did not receive funding from agencies in the public, private, or not-for-profit sectors for the conduction of the present study.


Work developed at the Associação Beneficente Bom Samaritano, Maringá, Paraná, Brazil.




Publication History

Received: 14 May 2023

Accepted: 15 January 2024

Article published online:
22 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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