关键词: budapest criteria calcaneal fracture coexistent neuropathy complex regional pain syndrome medial plantar neuropathy peripheral neuropathy post-operative nerve injury sural neuropathy

来  源:   DOI:10.7759/cureus.62017   PDF(Pubmed)

Abstract:
This case illustrates a distinct presentation of coexistent medial plantar and sural neuropathy leading to the development of complex regional pain syndrome (CRPS) in a 49-year-old male patient. CRPS is a broad medical diagnosis describing prolonged and excessive pain that is out of proportion to exam and has historically been diagnosed according to the Budapest criteria. To our knowledge, this is a rare report of a case of medial plantar and sural neuropathy further complicated with CRPS, status-post calcaneal fracture, surgery, and post-surgical boot placement. The case highlights the complexity of diagnosing and managing multiple concurrent neuropathies and underscores the need for interdisciplinary approaches in treating CRPS to improve patient outcomes.
摘要:
此病例说明了49岁男性患者中并发足底内侧和腓肠神经病的明显表现,导致复杂的区域疼痛综合征(CRPS)的发展。CRPS是一种广泛的医学诊断,描述了与检查不成比例的长期和过度疼痛,并且历史上根据布达佩斯标准诊断。据我们所知,这是一例罕见的足底内侧和腓肠神经病进一步并发CRPS的病例,跟骨骨折后状态,手术,和手术后的靴子放置。该病例强调了诊断和管理多种并发神经病的复杂性,并强调了治疗CRPS以改善患者预后的跨学科方法的必要性。
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