Complex regional pain syndrome - type 1

Case contributed by Gustavo Aguiar
Diagnosis probable

Presentation

Severe right foot pain. History of motorcycle accident 4 months earlier with surgically treated tibial fracture.

Patient Data

Age: 25 years
Gender: Male

Patchy osteopenia and cortical bone irregularity in the right foot, particularly in the proximal first metatarsal, navicular bone and distal fibula.

Areas of subperiosteal bone resorption with a cortical irregularity, particularly in the proximal first metatarsal, navicular bone and distal fibula.

Patchy bone marrow edema signal.

Soft tissue swelling.

Metal artifact (surgically treated tibial fracture).

Case Discussion

Complex regional pain syndrome (CRPS) is a clinical disorder that is characterized by severe continuous pain affecting extremities and it is often caused by trauma. There are two types of this condition:

  • type 1: no demonstrable nerve lesion
  • type 2: nerve lesion is identified

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