Exacerbation of carpal tunnel syndrome secondary to complex regional pain syndrome

Authors

Keywords:

complex regional pain syndrome, carpal tunnel syndrome, cellulitis.

Abstract

Introduction: Complex regional pain syndrome is characterized by hyperalgesia, spontaneous or induced pain, and sensory, trophic, and motor alterations. It generates severe functional limitation and it is sometimes associated with the onset or exacerbation of carpal tunnel syndrome.

Objective: To characterize the relationship between carpal tunnel syndrome and complex regional pain syndrome.

Case report: We report the case of a 54-year-old female patient with a history of carpal tunnel syndrome in the right upper limb. This was exacerbated by the appearance of a complex regional pain syndrome secondary to cellulitis.

Conclusions: The onset and acute exacerbation of carpal tunnel syndrome should be considered complications of complex regional pain syndrome to manage and reduce functional sequelae.

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Author Biography

Martha Vanessa Ortiz Calderón, Universidad Pedagogica y Tecnologica de Colombia

Médico especialista en medicina física y rehabilitación, docente en medicina en UPTC

References

Harden RN, Oaklander AL, Burton AW, Perez RSGM, Richardson K, Swan M, et al. Complex regional pain syndrome: practical diagnostic and treatment guidelines, 4th edition. Pain Med. 2013;14(2):180-229. DOI: https://doi.org/10.1111/pme.12033

Bussa M, Mascaro A, Cuffaro L, Rinaldi S. Adult complex regional pain syndrome type I: a narrative review. PM&R. 2017;9(7):707-19. DOI: https://doi.org/10.1016/j.pmrj.2016.11.006

Birklein F, Dimova V. Complex regional pain síndrome-up-to-date. PAIN Reports. 2017;2(6):e624. DOI: https://doi.org/10.1097/PR9.0000000000000624

Hernández BC, Plancarte R, Alarcón S, Sámano M. Síndrome doloroso regional complejo: revisión. Cir Cir. 2017;85(4):366-74. DOI: https://doi.org/10.1016/j.circir.2016.11.004

Loewenstein SN, Duquette SP, Adkinson JM. Combined carpal tunnel release and palmar fasciectomy for Dupuytren’s contracture does not increase the risk for complex regional pain syndrome. Plast Reconstr Surg. 2018;142(5):1251-7. DOI: https://doi.org/10.1097/PRS.0000000000004838

Taylor SS, Noor N, Urits I, Paladini A, Sadhu MS, Gibb C, et al. Complex regional pain syndrome: a comprehensive review. Pain Ther. 2021;10(2):875-92. DOI: https://doi.org/10.1007/s40122-021-00279-4

Misidou C, Papagoras C. Complex regional pain syndrome: an update. Mediterr J Rheumatol. 2019;30(1):16-25. DOI: https://doi.org/10.31138/mjr.30.1.16

Mesaroli G, Hundert A, Birnie KA, Campbell F, Stinson J. Screening and diagnostic tools for complex regional pain syndrome: a systematic review. Pain. 2021;162(5):1295-304. DOI: https://doi.org/10.1097/j.pain.0000000000002146

Shim H, Rose J, Halle S, Shekane P. Complex regional pain syndrome: a narrative review for the practising clinician. Br J Anaesth. 2019;123(2):e424-33. DOI: https://doi.org/10.1016/j.bja.2019.03.030

Neumeister MW, Romanelli MR. Complex regional pain syndrome. Clin Plast Surg. 2020;47(2):305-10. DOI: https://doi.org/10.1016/j.cps.2019.12.009

Gillig JD, White SD, Rachel JN. Acute carpal tunnel síndrome: a review of current literatura. Orthop Clin North Am. 2016;47(3):599-607. DOI: https://doi.org/10.1016/j.ocl.2016.03.005

Fitzcharles MA, Esdaile JM. Carpal tunnel syndrome complicated by reflex sympathetic dystrophy syndrome. Br J Rheumatol. 1991;30(6):468-70. DOI: https://doi.org/10.1093/rheumatology/30.6.468

Padua L, Lo Monaco M, Padua R, Gregori B, Tonali P. Neurophysiological classification of carpal tunnel syndrome: Assessment of 600 symptomatic hands. Ital J Neurol Sci. 1997;18(3):145-50. DOI: https://doi.org/10.1007/bf02048482

Neubrech F, Gentzsch T, Kotsougiani D, Bickert B, Kneser U, Harhaus L. Prävalenz und koprävalenz des komplexen regionalen schmerzsyndromes (CRPS) und des karpaltunnelsyndromes (KTS) in der handrehabilitation. Handchir Mikrochir Plast Chir. 2016;48(03):136-42. DOI: https://doi.org/10.1055/s-0042-108587

Koh SM, Moate F, Grinsell D. Co-existing carpal tunnel syndrome in complex regional pain syndrome after hand trauma. J Hand Surg. 2010;35(3):228-31. DOI: https://doi.org/10.1177/1753193409354015

Published

2023-09-05

How to Cite

1.
Páez Pineda OD, Ortiz Calderón MV, Morantes Cárdenas AV. Exacerbation of carpal tunnel syndrome secondary to complex regional pain syndrome. Revista Cubana de Ortopedia y Traumatologí­a [Internet]. 2023 Sep. 5 [cited 2025 Mar. 10];37(3). Available from: https://revortopedia.sld.cu/index.php/revortopedia/article/view/584

Issue

Section

Presentación de casos