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Reflex sympathetic dystrophy in an amputee: case study.

I R Odderson1, J M Czerniecki

  • 1Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle 98195.

Archives of Physical Medicine and Rehabilitation
|February 1, 1990
PubMed
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Reflex sympathetic dystrophy (RSD) is rarely considered for post-amputation pain. This case highlights RSD of the knee following below-knee amputation, emphasizing diagnosis and treatment.

Area of Science:

  • Medical research
  • Clinical case study
  • Pain management

Background:

  • Reflex sympathetic dystrophy (RSD), now known as Complex Regional Pain Syndrome (CRPS), is typically associated with upper extremity injuries.
  • Post-amputation stump pain is a common complication, often attributed to various causes.
  • Autonomic dysfunction manifestations can mimic other conditions, complicating differential diagnoses.

Observation:

  • A 47-year-old male patient developed symptoms consistent with RSD in the knee.
  • The patient underwent a below-knee amputation due to atherosclerotic peripheral vascular disease.
  • Symptom onset occurred during the mobilization phase post-surgery.

Findings:

  • Diagnosis of knee RSD was established through clinical examination, radiography, and scintigraphy.

Related Experiment Videos

  • No invasive diagnostic procedures were required.
  • Key diagnostic indicators for acute-phase knee RSD were identified and are emphasized.

    • Implications:

    • This case expands the understanding of RSD presentation beyond the upper extremity.
    • It underscores the importance of considering RSD in the differential diagnosis of post-amputation knee pain.
    • The study highlights non-invasive diagnostic methods and therapeutic approaches for this condition.