This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Jupiter, J. B.
Right arrow Articles by Zienowicz, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jupiter, J. B.
Right arrow Articles by Zienowicz, R.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?

The Journal of Bone and Joint Surgery, Vol 76, Issue 9 1376-1384, Copyright © 1994 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Sympathetic maintained pain (causalgia) associated with a demonstrable peripheral-nerve lesion. Operative treatment

JB Jupiter, JG Seiler and R Zienowicz
Massachusetts General Hospital, Boston 02114.

Nine patients who had sympathetic maintained pain (causalgia) and a total of ten identifiable lesions involving peripheral nerves were managed with a continuous sympathetic block; repair, reconstruction, or lysis of the involved nerve, or a combination of these procedures; and rotation of a muscle flap over the nerve in an attempt to enhance the blood supply in the area and to reduce scarring in the region surrounding the nerve. The lesions were located in the median nerve at the wrist in five of the patients; in both the ulnar nerve at the elbow and the median nerve at the wrist in one; and in the ulnar nerve at the elbow, the radial digital nerve of the index finger, and the posterior tibial nerve near the ankle in one patient each. The average duration of symptoms before treatment was seventeen weeks. All nine patients had clinical findings that were considered diagnostic of sympathetic maintained pain or causalgia. Electrophysiological evidence of dysfunction of one peripheral nerve or more was found in the eight patients who had an electromyogram and a nerve-conduction study. In all nine patients, the causalgic pain diminished within the first seventy-two hours after the operation, and none of the patients had had any recurrence of symptoms at an average of forty-eight months. Although all of the patients had some residual limitation of function, all had improvement after this treatment, and the improvement was maintained.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Vasc MedHome page
H. A. Kurvers
Reflex sympathetic dystrophy: facts and hypotheses
Vascular Medicine, August 1, 1998; 3(3): 207 - 214.
[Abstract] [PDF]