Download PDF
Handchir Mikrochir Plast Chir 2011; 43(1): 25-31
DOI: 10.1055/s-0030-1269888
Übersichtsarbeit

© Georg Thieme Verlag KG Stuttgart · New York

Prophylaxe des CRPS I und des CRPS I-Rezidivs

Prophylaxis of CRPS I and recurrent CRPS IH. Troeger1
  • 1Bethesda-Spital Basel, Klinik für Hand- und Periphere Nervenchirurgie, Basel, Schweiz
Further Information

Publication History

eingereicht 29.09.2009

akzeptiert 12.11.2010

Publication Date:
14 February 2011 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Im Vordergrund der Vermeidung eines CRPS bzw. eines CRPS-Rezidivs stehen neben der Einhaltung allgemeingültiger Behandlungsgrundsätze auch pathophysiologische Überlegungen sowie Einsatzmöglichkeiten von verschiedenen Medikamenten. Ihre konsequente Umsetzung kann zwar des CRPS nicht in jedem Falle sicher verhindern, senkt aber die Rate des Auftretens oder Wiederauftretens eines CRPS deutlich.

Abstract

In the foreground of the avoidance of a CRPS as well as a recurrent CRPS, also pathophysiological considerations and use-possibilities of different drugs stand beside the observance of generally valid principles for treatment. Its consistent transposition cannot certainly prevent the CRPS in each case admittedly, the installment of the appearance or recurrence of a CRPS clearly lowers however.

Schlüsselwörter

komplexes regionales Schmerzsyndrom (CRPS) - CRPS I - Rezidiv-CRPS - Prophylaxe

Key words

complex regional pain syndrome (CRPS) - CRPS I - recurrence of CRPS - prophylaxis

Literatur

  • 1 Reuben SS. Preventing the development of complex regional pain syndrome after surgery.  Anaesthesiology. 2004;  101 1215-1224
    Google Scholar
  • 2 Maleki J, LeBel AA, Bennett GJ. et al . Patterns of spread in complex regional pain syndrome, type I (reflex sympathetic dystrophy).  Pain. 2000;  88 259-266
    Google Scholar
  • 3 Pollack HJ. Das komplexe regionale Schmerzsyndrom (CRPS I) in der Handchirurgie – schicksalshaft oder vermeidbar? Sichtweise eines Handchirurgen mit jahrzehntelanger Erfahrung mit dem Problem.  Handchir Mikrochir Plast Chir. 2010;  42 30-36
    Google Scholar
  • 4 Ackerman III WE, Ahmad M. Recurrent postoperative CRPS I in patients with abnormal preoperative sympathetic function.  J Hand Surg [Am]. 2008;  33 217-222
    Google Scholar
  • 5 . International Association for the study of pain. Pain terms.  Pain Suppl. 1986;  3 215-221
    Google Scholar
  • 6 Merskey H, Bogduk N. Classification of chronic pain. In: Merskey H., Bogduk N. (Ed.): Pain terms, a current list with definitions and notes on usage. IASP task force on taxonomy. 2nd IASP Press, Seattle; 1994: 215-221
    Google Scholar
  • 7 Loeser JD, Treede RD. The Kyoto protocol of IASP Basic Pain Terminology.  Pain. 2008;  137 473-477
    Google Scholar
  • 8 Troeger H, Hasenböhler P. Geschichte, Stadieneinteilung und Klinik des komplexen regionalen Schmerzsyndroms (CRPS).  Handchir Mikrochir Plast Chir. 2010;  42 2-7
    Google Scholar
  • 9 Goldner JL. Causes and prevention of reflex sympathetic dystrophy.  J Hand Surg [Am]. 1980;  5 295-296
    Google Scholar
  • 10 Gougeon J, Moreau-Hottin J. [Recurrent forms of algoneurodystrophy of the lower extremities].  Rhumatologie. 1966;  18 395-399
    Google Scholar
  • 11 Klatnek N. Prophylaxe und Behandlung der Sudeck'schen Atrophie bei Frakturen der Tarsalknochen.  Hefte Unfallheilk. 1979;  134 129-130
    Google Scholar
  • 12 Kotenko VV. [Case of repeated development of Sudeck's syndrome].  Ortop Travmatol Protez. 1978;  54-55
    Google Scholar
  • 13 Polakova Z. [Prevention of reflex bone dystrophy in Colles’ fracture].  Acta Chir Orthop Traumatol Cech. 1965;  32 356-358
    Google Scholar
  • 14 Schulze J, Troeger C. Increased Sympathetic Activity Assessed by Spectral Analysis of Heart Rate Variability in Patients with CRPS I.  Handchir Mikrochir Plast Chir. 2010;  42 44-48
    Google Scholar
  • 15 Moesker A. Complex regional pain syndrome, formerly called reflex sympathetic dystrophy, treatment with ketanserin and carnitine (thesis).  Thesen Erasmus Universität Rotterdam. 2000;  1-147
    Google Scholar
  • 16 Lankford LL. Reflex Sympathetic Dystrophy. In: Green D. P. (Ed.) Operative Hand Surgery 1993: 627-659
    Google Scholar
  • 17 Veldman PH, Goris RJ. Multiple reflex sympathetic dystrophy: Which patients are at risk for developing recurrence of reflex sympathetic dystrophy in the same or another limb.  Pain. 1996;  64 463-466
    Google Scholar
  • 18 Veldman PH, Goris RJ. Surgery on extremities with reflex sympathetic dystrophy.  Unfallchirurg. 1995;  98 45-48
    Google Scholar
  • 19 Katz MM, Hungerford DS. Reflex sympathetic dystrophy affecting the knee.  J Bone Joint Surg [Am]. 1987;  69 797-803
    Google Scholar
  • 20 Reuben SS, Rosenthal EA, Steinberg RB. Surgery on the affected upper extremity of patients with a history of complex regional pain syndrome: a retrospective study of 100 patients.  J Hand Surg [Am]. 2000;  25 1147-1151
    Google Scholar
  • 21 Reuben SS. Chronic pain after surgery: what can we do to prevent it.  Curr Pain Headache Rep. 2007;  11 5-13
    Google Scholar
  • 22 Singh G, Willen SN, Boswell MV. et al . The value of interdisciplinary pain management in complex regional pain syndrome type I: a prospective outcome study.  Pain Physician. 2004;  7 203-209
    Google Scholar
  • 23 Schmitt W. Die Novocainblockade des Ganglion stellatum.  Johann Ambrosius Barth, Leipzig 1955; 
    Google Scholar
  • 24 Coderre TJ, Xanthos DN, Francis L. et al . Chronic post-ischemia pain (CPIP): a novel animal model of complex regional pain syndrome-type I (CRPS-I;reflex sympathetic dystrophy) produced by prolonged hindpaw ischemia and reperfusion in rat.  Pain. 2004;  112 94-105
    Google Scholar
  • 25 Eisenberg E, Shtahl S, Geller R. et al . Serum and salivary oxidative analysis in Complex Regional Pain Syndrome.  Pain. 2008;  138 226-232
    Google Scholar
  • 26 Ludwig J, Gorodetskaya N, Schattschneider J. et al . Behavioral and sensory changes after direct ischemia-reperfusion injury in rats.  Eur J Pain. 2007;  11 677-684
    Google Scholar
  • 27 Toda K, Muneshige H, Maruishi M. et al . Headache may be a risk factor for complex regional pain syndrome.  Clin Rheumatol. 2006;  25 728-730
    Google Scholar
  • 28 Xanthos DN, Coderre TJ. Sympathetic vasoconstrictor antagonism and vasodilatation relieve mechanical allodynia in rats with chronic postischemia pain.  J Pain. 2008;  9 423-433
    Google Scholar
  • 29 Berthelot JM. Current management of reflex sympathetic dystrophy syndrome (complex regional pain syndrome type I).  Joint Bone Spine. 2006;  73 495-499
    Google Scholar
  • 30 Cazeneuve JF, Leborgne JM, Kermad K. et al . Vitamin C and prevention of reflex sympathetic dystrophy following surgical management of distal radius fractures.  Acta Orthop Belg. 2002;  68 481-484
    Google Scholar
  • 31 De Lange-de Klerk ES. Lower incidence of posttraumatic dystrophy in wrist fractures after prophylactic supplementation of vitamin C.  Ned Tijdschr Geneeskd. 2000;  144 2035-2036
    Google Scholar
  • 32 Goris RJA. Laan Lvd Reflex sympathetic dystrophy – another view.  Europ J Trauma. 2001;  99-103
    Google Scholar
  • 33 Rogers BA, Ricketts DM. Can vitamin C prevent complex regional pain syndrome in patients with wrist fractures?.  J Bone Joint Surg [Am]. 2008;  90 447-448
    Google Scholar
  • 34 Zollinger PE, Tuinebreijer WE, Kreis RW. et al . Effect of vitamin C on frequency of reflex sympathetic dystrophy in wrist fractures: a randomised trial.  Lancet. 1999;  354 2025-2028
    Google Scholar
  • 35 Zollinger PE, Tuinebreijer WE, Breederveld RS. et al . Can vitamin C prevent complex regional pain syndrome in patients with wrist fractures? A randomized, controlled, multicenter dose-response study.  J Bone Joint Surg [Am]. 2007;  89 1424-1431
    Google Scholar
  • 36 Mos Md, Huygen FJPM, Hoeven-Borgmann Mvd. et al . Outcome of the Complex Regional Pain Syndrome.  Clin J Pain. 2009;  25 590-597
    Google Scholar
  • 37 Gerhards E, Gibian H. Stoffwechsel und Wirkung von Dimethylsulfoxid.  Naturwissenschaften. 1968;  55 435-438
    Google Scholar
  • 38 Perez RS, Zuurmond WW, Bezemer PD. et al . The treatment of complex regional pain syndrome type I with free radical scavengers: a randomized controlled study.  Pain. 2003;  102 297-307
    Google Scholar
  • 39 Wiegand M. Behandlung mit DMSO bei CRPS.  Fachtagung CRPS – Update in Diagnostik und Therapie, Rehaklinik Bellikon/Schweiz 2008; 
    Google Scholar
  • 40 Zuurmond WWA, Langendijk PNJ, Bezemer PD. et al . Treatment of acute reflex sympathetic dystrophy with DMSO 50% in a fatty cream.  Acta Anaesthesiol Scand. 1996;  40 364-367
    Google Scholar
  • 41 van Dieten HE, Perez RS, van Tulder MW. et al . Cost effectiveness and cost utility of acetylcysteine versus dimethyl sulfoxide for reflex sympathetic dystrophy.  Pharmacoeconomics. 2003;  21 139-148
    Google Scholar
  • 42 Nickel FT, Maihöfner C. Aktuelle Erkenntnisse zur Pathophysiologie des CRPS I.  Handchir Mikrochir Plast Chir. 2010;  42 8-14
    Google Scholar
  • 43 Kondo I, Hosokawa K, Soma M. et al . Protocol to prevent shoulder-hand syndrome after stroke.  Arch Phys Med Rehabil. 2001;  82 1619-1623
    Google Scholar
  • 44 Hannington-Kiff JG. Pain relief.. William Heinemann Medical Books Ltd, London; 1974
    Google Scholar
  • 45 Gschwind C, Fricker R, Lacher G. et al . Does peri-operative guanethidin prevent reflex sympathetic dystrophy?.  J Hand Surg [Br]. 1995;  20 773-775
    Google Scholar
  • 46 Livingstone JA, Atkins RM. Intravenous regional guanethidine blockade in the treatment of post-traumatic complex regional pain syndrome type 1 (algodystrophy) of the hand.  J Bone Joint Surg [Br]. 2002;  84 380-386
    Google Scholar
  • 47 Brückner H, Pietsch P. Sympathektomie bei dystrophen Unfallfolgen an der oberen Extremität.  Bruns Beitr Klin Chir. 1967;  215 401-421
    Google Scholar
  • 48 Ackerman WE, Zhang JM. Efficacy of stellate ganglion blockade for the management of type 1 complex regional pain syndrome.  South Med J. 2006;  99 1084-1088
    Google Scholar
  • 49 Reuben SS, Pristas R, Dixon D. et al . The incidence of complex regional pain syndrome after fasciectomy for Dupuytren's contracture: a prospective observational study of four anesthetic techniques.  Anesth Analg. 2006;  102 499-503
    Google Scholar
  • 50 Nigst H. Zur Prophylaxe der post-traumatischen Osteoporose und dem Sudeck-Syndrom.  Landarzt. 1967;  43 167-169
    Google Scholar
  • 51 Mos Md, Huygen FJ, Stricker BH. et al . The association between ACE inhibitors and the complex regional pain syndrome: Suggestions for a neuro-inflammatory pathogenesis of CRPS.  Pain. 2009;  142 218-224
    Google Scholar
  • 52 Mos Md, Huygen FJ, Stricker BH. et al . Estrogens and the risk of complex regional pain syndrome (CRPS).  Pharmacoepidemiol Drug Saf. 2009;  18 44-52
    Google Scholar
  • 53 Kissling RO, Bloesch A-C, Sager M. et al . Prévention de la récidive d’ une maladie de Sudeck par la calcitonine.  Rev Chirurg Orthopèd. 1991;  77 562-567
    Google Scholar
  • 54 Marx C, Wiedersheim P, Michel BA. et al . Preventing recurrence of reflex sympathetic dystrophy in patients requiring an operative intervention at the site of dystrophy after surgery.  Clin Rheumatol. 2001;  20 114-118
    Google Scholar
  • 55 Brunner F, Schmid A, Kissling R. et al . Biphosphonates for the therapy of complex regional pain syndrome I – systematic review.  Eur J Pain. 2009;  13 17-21
    Google Scholar
  • 56 Akkus S, Yorgancigil H, Yener M. A case of recurrent and migratory complex regional pain syndrome type I: Prevention by gabapentin.  Rheumatol Int. 2006;  26 852-854
    Google Scholar
  • 57 Zyluk A. Prevention of algodystrophy of the upper limb.  Chir Narzadow Ruchu Ortop Pol. 2007;  72 424-428
    Google Scholar
  • 58 Troeger H. Algodystrophie. In: Krupp S. (Ed.): Plastische Chirurgie. 22. Erg. Lfg.ECOMED, Landsberg 2003: 1-12
    Google Scholar

Korrespondenzadresse

Prof. Hans Troeger

Bethesda-Spital Basel

Klinik für Hand- und Periphere

Nervenchirurgie

Gellertstraße 144

4020 Basel

Schweiz

Email: troegerh@yahoo.com

      >