Complex regional pain syndrome/CRPS/Fracture disease/Algodystrophy

CRPS in short for orthopedic residents

1. Complex Regional Pain Syndrome (CRPS) BY Dr. VIVEK MADANKAR Post graduate student, Dept. of Orthopaedics, MGMH, Warangal

2. MODERATORS 1.Dr. K. Ramkumar Reddy sir (Prof & Unit Chief) 2.Dr. Prasad Reddy sir ( Assit . Prof)  3.Dr. M. Prakash Sir ( Assit.Prof )

3. International Association for Study of Pain defines CRPS as: “Continuous pain in a portion of an extremity after trauma, which may include fracture but does not involve a major nerve, associated with sympathetic hyperactivity." Definition

4. During the American Civil War (1864), Silas Mitchell observed a chronic pain syndrome in soldiers who suffered traumatic injuries. He described this syndrome using the term Causalgia . Historical Perspective

5. At the beginning of the 20th century, Paul Sudeck identified the localized bone atrophy by x-rays ( sudeck's atrophy ) Because the inflammatory irritation which involves nutritional problems and in consequence resorption of bone

6. In 1917 a French surgeon named Rene Leriche implicated the sympathetic nervous system in Causalgia . He treated these patients with surgical sympathectomy

7. In the 1950's, John Bonica introduced the phrase reflex sympathetic dystrophy

8. Many terms used to describe the condition

9. Epidemiology

10. There is no correlation between the severity of trauma and the degree of CRPS symptoms. No psychological factor predisposing for CRPS has been identified. However 80% of CRPS patients had 'stressful life events' close to the time of diagnosis.

11. TYPES OF COMPLEX REGIONALPAIN SYNDROME

12. e

13. Thank you