Reflex sympathetic dystrophy in children

Reflex sympathetic dystrophy (RSD) is an uncommonly reported entity in children. This paper reports five cases of RSD in children and summarizes 80 cases of pediatric RSD reported in the literature. The diagnosis is based on the clinical findings of pain, dysesthesia, and autonomic instability. Tach...

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Bibliographic Details
Published inClinical orthopaedics and related research no. 258; p. 225
Main Authors Dietz, F R, Mathews, K D, Montgomery, W J
Format Journal Article
LanguageEnglish
Published United States 01.09.1990
Subjects
Adolescent
Child
Female
Humans
Leg - physiopathology
Massage
Reflex Sympathetic Dystrophy - diagnosis
Reflex Sympathetic Dystrophy - therapy
Vasomotor System - physiopathology
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Summary:Reflex sympathetic dystrophy (RSD) is an uncommonly reported entity in children. This paper reports five cases of RSD in children and summarizes 80 cases of pediatric RSD reported in the literature. The diagnosis is based on the clinical findings of pain, dysesthesia, and autonomic instability. Tache cérébrale, not previously described in the diagnosis of RSD, is a helpful sign of vasomotor dysfunction. RSD in childhood frequently affects the lower extremities, in contrast to the adult localization around the shoulders and hands. Noninvasive, nonpharmacologic management is generally successful. A simple outpatient program of massage and mobilization was beneficial in four of the five patients treated in this study.
ISSN:0009-921X
DOI:10.1097/00003086-199009000-00028