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.
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。