Complex regional pain syndrome type I in children

  1. Edward CTH Tan1,
  2. Basil Zijlstra1,
  3. Marlou L Essink2,
  4. R Jan A Goris1,
  5. René SVM Severijnen3

Article first published online: 10 APR 2008

DOI: 10.1111/j.1651-2227.2008.00744.x

Issue

Acta Paediatrica

Acta Paediatrica

Volume 97, Issue 7, pages 875–879, July 2008

Additional Information

How to Cite

Tan, E. C., Zijlstra, B., Essink, M. L., Goris, R. J. A. and Severijnen, R. S. (2008), Complex regional pain syndrome type I in children. Acta Paediatrica, 97: 875–879. doi: 10.1111/j.1651-2227.2008.00744.x

Author Information

  1. 1

    Department of General Surgery – Traumatology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

  2. 2

    Paediatric Physical Therapy, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

  3. 3

    Paediatric Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

*Correspondence Edward CTH Tan, M.D., Traumasurgeon, Department of General Surgery – Traumatology, Radboud University Nijmegen Medical Centre, 690 Internal Postal Code, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. Tel: +31-24-361 53 39 | Fax: +31-24-354 05 01 | Email: e.tan@chir.umcn.nl

Publication History

  1. Issue published online: 2 JUN 2008
  2. Article first published online: 10 APR 2008
  3. Received 31 August 2007; revised 31 January 2008; accepted 7 February 2008.

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Keywords:

  • Children;
  • CRPS I

Abstract

Background: Complex Regional Pain Syndrome type I (CRPS I) is a potentially incapacitating syndrome which can occur after a minor injury or operation to a limb. It is a disorder characterized by pain, sensory and motor disturbances. CRPS I is well known in adults, but a relatively new diagnostic entity in children. The clinical presentation of CRPS I in children is, to some extent, different from adults and therefore sometimes not recognized early. The aim of this study was to search for differences in patient characteristics between children and adults with CRPS I.

Methods: We have performed a retrospective chart review of 78 children (age ≤16 year) with CRPS I and compared the data with those of 951 adults with CRPS I.

Results: The child population consisted predominantly of girls and older children (median age 13 years). The child population differed from adults in that the skin temperature of the involved extremity at onset was more often cooler, the lower extremity was involved more frequently and neurological and sympathetic symptoms were less pronounced.

Conclusions: In several aspects, CRPS I in children has a different presentation than in adults.

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