RESUMO
The complex regional pain syndrome type 1 from the surgeon's point of view: description of the symptoms, imaging (nuclear medicine, MRI) and of the associated psychological context. Importance of the need for a multi-disciplinary organization from the diagnostic to the therapeutic care.
Assuntos
Distrofia Simpática Reflexa/cirurgia , Distrofia Simpática Reflexa/terapia , Procedimentos Cirúrgicos Operatórios , Atitude do Pessoal de Saúde , Diagnóstico Diferencial , Humanos , Imageamento por Ressonância Magnética , Dor Pós-Operatória/terapia , Médicos , Tomografia por Emissão de Pósitrons , Distrofia Simpática Reflexa/diagnóstico , Distrofia Simpática Reflexa/patologia , Distrofia Simpática Reflexa/psicologia , Ferimentos e Lesões/complicaçõesRESUMO
We present an original method for the treatment of neglected Monteggia fractures using the Ilizarov technique. This method allows reduction without accessing the radial head by progressive ulnar lengthening after proximal subperiosteal osteotomy of the ulnar bone. We used this method in a six and a half year old girl and achieved excellent radiographical and functional results with normal joint amplitudes. In our opinion, the quality of the outcome is related to the progressiveness of the bone lengthening enabled by this technique which allows restoration of the ulnar length, preservation of the axes of both forearm bones, and controlled reduction of the radial head.