PDF(Pubmed)
Abstract：
BACKGROUND: Complex regional pain syndrome is a neuropathic pain disorder associated with ongoing pain that persists beyond the usual expected tissue healing time and that is disproportionate to the degree of tissue injury present. Complex regional pain syndrome after hip arthroscopy has not been reported before. Hip arthroscopy is a fast-growing domain that could lead to an increasing number of complex regional pain syndrome cases, probably owing to the high traction forces that are necessary.
METHODS: We report the case of a 30-year-old German female semiprofessional tennis player who presented with complex regional pain syndrome type I in the lower leg 3 weeks after hip arthroscopy for femoroacetabular impingement syndrome with suture anchor labral repair and femoroplasty. After 2 months of immediate multimodal conservative therapy including administration of gabapentin, prompt full weight-bearing, and intensified physiotherapy, complete recovery was achieved.
CONCLUSIONS: Complex regional pain syndrome does occur after elective hip arthroscopy. Disproportionate postoperative pain or other symptoms raising suspicion of complex regional pain syndrome should be promptly evaluated and treated through a multimodal approach. Postless hip arthroscopy may be advantageous.
METHODS: We report the case of a 30-year-old German female semiprofessional tennis player who presented with complex regional pain syndrome type I in the lower leg 3 weeks after hip arthroscopy for femoroacetabular impingement syndrome with suture anchor labral repair and femoroplasty. After 2 months of immediate multimodal conservative therapy including administration of gabapentin, prompt full weight-bearing, and intensified physiotherapy, complete recovery was achieved.
CONCLUSIONS: Complex regional pain syndrome does occur after elective hip arthroscopy. Disproportionate postoperative pain or other symptoms raising suspicion of complex regional pain syndrome should be promptly evaluated and treated through a multimodal approach. Postless hip arthroscopy may be advantageous.
摘要：
背景：复杂区域疼痛综合征是一种与持续疼痛相关的神经性疼痛障碍，持续超过通常预期的组织愈合时间，并且与存在的组织损伤程度不成比例。髋关节镜检查后的复杂区域疼痛综合征以前没有报道。髋关节镜检查是一个快速增长的领域，可能导致越来越多的复杂区域疼痛综合征病例，可能是由于所需的高牵引力。
方法：我们报告了一名30岁的德国女性半职业网球运动员的病例，该患者在髋关节镜检查股骨髋臼撞击综合征后3周出现小腿I型复杂区域疼痛综合征。经过2个月的立即多模式保守治疗，包括加巴喷丁，迅速完全承重，加强物理治疗，完全恢复。
结论：复杂区域疼痛综合征在选择性髋关节镜检查后确实发生。应及时评估术后不成比例的疼痛或其他引起复杂区域疼痛综合征怀疑的症状，并通过多模式方法进行治疗。无后髋关节镜检查可能是有利的。
方法：我们报告了一名30岁的德国女性半职业网球运动员的病例，该患者在髋关节镜检查股骨髋臼撞击综合征后3周出现小腿I型复杂区域疼痛综合征。经过2个月的立即多模式保守治疗，包括加巴喷丁，迅速完全承重，加强物理治疗，完全恢复。
结论：复杂区域疼痛综合征在选择性髋关节镜检查后确实发生。应及时评估术后不成比例的疼痛或其他引起复杂区域疼痛综合征怀疑的症状，并通过多模式方法进行治疗。无后髋关节镜检查可能是有利的。
