Problem of Sudeck Syndrome
Emmerová M.1, Růžička J.1, Hadravský M.1, Koudelová J.2, Kreuzberg B.2, Koudela K.3
1I. interní klinika Fakultní nemocnice Plzeň, přednosta Doc. MUDr. Martin Matějovič, Ph.D. 2Radiodiagnostická klinika Fakultní nemocnice Plzeň, přednosta Doc. MUDr. Boris Kreuzberg 3Klinika ortopedie a traumatologie pohybového ústrojí Fakultní nemocnice Plzeň, přednosta Prof. MUDr. Karel Koudela |
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Summary:
Sudeck dystrophia is more than 100 years cited name for a set of symptoms of complications of trauma or surgery, mostly in extremities.
Subjective symptoms are dominated by unexplainable pain, usually distal to primary lesion; objectively we find local swelling
and change of colour, local temperature and sweating. All this affects naturally the functionality of the concerned extremity. If
the vitious circle – i. e. extermination of local hypoxia caused by vasomotor instability – is not broken, the status can within weeks
to months progress to serious and irreversible trophical changes of skin and its adnexa, muscles and tendons, to local secondary
osteoporosis and irreversible extremity function disorder (3rd stage). Relief of pain is the main and early indicator of successful treatment
attempts.
Key words:
vasomotoric instability, hypoxia, antioxidants, hyperbaroxy
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