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[Sudeck disease].

A Enderle1, A Gregl

  • 1Orthopädischen Universitätsklinik, Universitätsklinik Göttingen.

Zeitschrift Fur Lymphologie. Journal of Lymphology
|December 1, 1990
PubMed
Summary
This summary is machine-generated.

Sudeck's atrophy, a bone and soft-tissue disorder, presents in three stages and is primarily diagnosed clinically, especially early on. Differentiating it from immobilization osteoporosis on early X-rays is challenging.

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Area of Science:

  • Orthopedics
  • Radiology
  • Pathology

Context:

  • The disorder, named after surgeon P.H.M. Sudeck, was first described in 1900.
  • It involves "acute inflammatory atrophy" of bone and soft-tissue.
  • Historical attempts to explain its pathogenesis include the peripheral humoral theory.

Purpose:

  • To review the clinical and radiological characteristics of Sudeck's atrophy.
  • To highlight diagnostic challenges, particularly in early stages.
  • To discuss variations and differential diagnoses.

Summary:

  • Sudeck's atrophy is a three-stage disorder diagnosed mainly by clinical factors.
  • Early-stage X-rays can resemble immobilization osteoporosis due to similar bone changes.
  • Approximately 10% of cases are spontaneous or linked to distant issues, and lymphatic congestion is also noted.

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Impact:

  • Emphasizes the importance of clinical diagnosis in early Sudeck's atrophy.
  • Clarifies the difficulty in differentiating Sudeck's atrophy from immobilization osteoporosis radiologically.
  • Acknowledges non-traumatic and atypical presentations, broadening diagnostic considerations.