Complex regional pain syndrome and bone marrow oedema syndrome: family ties potentially closer than expected.

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State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_FC805C86EEF4
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Complex regional pain syndrome and bone marrow oedema syndrome: family ties potentially closer than expected.
Journal
BMJ case reports
Author(s)
Benchouk S., Buchard P.A., Luthi F.
ISSN
1757-790X (Electronic)
ISSN-L
1757-790X
Publication state
Published
Issued date
26/08/2020
Peer-reviewed
Oui
Volume
13
Number
8
Pages
e234600
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: epublish
Abstract
Complex regional pain syndrome (CRPS) and bone marrow edema syndrome (BMES) are two rare conditions that are still being discussed. They are generally considered as two distinct entities, yet they share similarities such as a homogeneous bone marrow edema is also often found in the early phase of CRPS. We present the case of a 41-year-old man with CRPS after a foot fracture followed by the development of painful BMES of the ipsilateral knee and hip a few weeks later. The search for another pathology was negative. After pamidronate infusions, the evolution was spectacular: the disappearance of hip pain at 1 month and more than 50% reduction in knee and foot pain at 2 months. At final follow-up (1 year), the patient was asymptomatic. This case reinforces the idea of a possible link between CRPS and BMES probably through similar trabecular bone involvement. Imaging remains useful in diagnosis of CRPS.
Keywords
Adult, Bone Marrow Diseases/diagnostic imaging, Complex Regional Pain Syndromes/diagnostic imaging, Edema/diagnostic imaging, Humans, Male, Syndrome, musculoskeletal and joint disorders, musculoskeletal syndromes, pain, rehabilitation medicine
Pubmed
Web of science
Open Access
Yes
Create date
10/09/2020 11:08
Last modification date
25/01/2024 8:47
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