儿童复杂局部疼痛综合征:文献回顾和儿科创伤骨科病例报告

Q4 Medicine

Pediatriya - Zhurnal im G.N. Speranskogo Pub Date : 2023-10-13 DOI:10.24110/0031-403x-2023-102-5-230-236

S.A. Rubashkin, A.V. Sertakova, A.S. Rubashkin

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引用次数: 0

摘要

复杂区域疼痛综合征(CRPS)在儿童有特殊的特点，区别于成人形式。此外，尚无关于该病理可能表现、诊断标准和治疗方面的具体数据。根据症状的严重程度，CRPS会导致身体功能紊乱，生活质量下降。本研究包括一例肢体(足)远端CRPS患者的病例报告;诊断是在4个月前做出的，患者对治疗反应良好。作者还推测了CRPS的决定因素。在报告的病例中，揭示了以下因素的组合:距舟骨和跟骨连接处(垂直距骨)的病理关系使足部无法进行正常的生物力学运动;创伤;一个孩子的身体超重，足部也有明显的皮下脂肪。患者未发现遗传标准或显著的神经异常。毫无疑问，儿童发生CRPS的原因和途径值得儿科医生以及其他领域的专家认真研究。

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COMPLEX REGIONAL PAIN SYNDROME IN CHILDREN: A BIBLIOGRAPHICAL REVIEW AND A PEDIATRIC TRAUMATOLOGIST-ORTHOPEDIST’S CASE REPORT

Complex regional pain syndrome (CRPS) in children has specific features that distinguish it from the adult form. In addition, there are no specific data on possible manifestations, diagnostic criteria and therapeutic aspects of this pathology. Depending on the severity of symptoms, CRPS leads to functional disorders of the body, a decrease in the quality of life. The research includes a case report of a patient with CRPS in the distal segment of the limb (foot); the diagnosis was made 4 months earlier and the patient responded well to the treatment. The Authors also speculate about CRPS determinants. In the reported case, the combination of following factors was revealed: a pathological relationship in the talonavicular and calcaneal junction (vertical talus) making the normal biomechanical movements in the foot impossible; trauma; hypersthenic physique of a child with pronounced subcutaneous fat in the foot as well. No genetic criteria or significant neurological abnormalities were identified in the patient. Undoubtedly, the causes and ways of CRPS occurrence in children should be carefully studied by pediatricians as well as experts in other fields.

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来源期刊

Pediatriya - Zhurnal im G.N. Speranskogo Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.60

自引率

0.00%

发文量

150

期刊介绍： Journal “Pediatria” named after G.N. Speransky (the official short names of the Journal are “Journal «Pediatria»,” “Pediatria,” and “«Pediatria,» the Journal”) is the oldest Soviet-and-Russian (in the Russian Federation, the CIS and former Soviet Union) scientific and practical medical periodical assigned for pediatricians that is published continuously since May, 1922, and distributed worldwide. Our mission statement specifies that we aim to the ‘raising the level of skills and education of pediatricians, organizers of children’s health protection services, medicine scientists, lecturers and students of medical institutes for higher education, universities and colleges worldwide with an emphasis on Russian-speaking audience and specific, topical problems of children’s healthcare in Russia, the CIS, Baltic States and former Soviet Union Countries and their determination with the use of the World’s best practices in pediatrics.’ As part of this objective, the Editorial of the Journal «Pediatria» named after G.N. Speransky itself adopts a neutral position on issues treated within the Journal. The Journal serves to further academic discussions of topics, irrespective of their nature - whether religious, racial-, gender-based, environmental, ethical, political or other potentially or topically contentious subjects. The Journal is registered with the ISSN, - the international identifier for serials and other continuing resources, in the electronic and print world: ISSN 0031-403X (Print), and ISSN 1990-2182 (Online). The Journal was founded by the Academician, Dr. Georgiy Nestorovich SPERANSKY, in May, 1922. Now (since 1973) the Journal bears his honorary name.