Reflex sympathetic dystrophy

Case contributed by Sebastian Seah
Diagnosis probable

Presentation

Presents with right dorso-lateral foot pain, 7 weeks after sustaining a tibial fracture. Patient has been managed in ankle brace for the duration of the recovery period.

Patient Data

Age: 8 years
Gender: Female
x-ray

Reduced bone density with 'pencilling' appearance in the tarsal bones.

No fracture, no erosions.

Case Discussion

The patient was in prolonged immobility secondary to ankle brace use. It is uncommonly seen in children. Features of type 1 CRPS: no underlying nerve lesion (commonest type).

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