Successful therapy of complex regional pain syndrome after hip arthroscopy for femoroacetabular impingement syndrome: a case report
Abstract Background Complex regional pain syndrome is a neuropathic pain disorder associated with ongoing pain that persists beyond the usual expected tissue healing time and that is disproportionate to the degree of tissue injury present. Complex regional pain syndrome after hip arthroscopy has not...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-01-01
|
| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-023-04276-3 |
| _version_ | 1797363282422530048 |
|---|---|
| author | V. Twardy R. von Eisenhart-Rothe I. J. Banke |
| author_facet | V. Twardy R. von Eisenhart-Rothe I. J. Banke |
| author_sort | V. Twardy |
| collection | DOAJ |
| description | Abstract Background Complex regional pain syndrome is a neuropathic pain disorder associated with ongoing pain that persists beyond the usual expected tissue healing time and that is disproportionate to the degree of tissue injury present. Complex regional pain syndrome after hip arthroscopy has not been reported before. Hip arthroscopy is a fast-growing domain that could lead to an increasing number of complex regional pain syndrome cases, probably owing to the high traction forces that are necessary. Case presentation We report the case of a 30-year-old German female semiprofessional tennis player who presented with complex regional pain syndrome type I in the lower leg 3 weeks after hip arthroscopy for femoroacetabular impingement syndrome with suture anchor labral repair and femoroplasty. After 2 months of immediate multimodal conservative therapy including administration of gabapentin, prompt full weight-bearing, and intensified physiotherapy, complete recovery was achieved. Conclusion Complex regional pain syndrome does occur after elective hip arthroscopy. Disproportionate postoperative pain or other symptoms raising suspicion of complex regional pain syndrome should be promptly evaluated and treated through a multimodal approach. Postless hip arthroscopy may be advantageous. |
| first_indexed | 2024-03-08T16:19:07Z |
| format | Article |
| id | doaj.art-226e1132f2c1476bb8c9b01276f7ad0e |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-03-08T16:19:07Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-226e1132f2c1476bb8c9b01276f7ad0e2024-01-07T12:27:36ZengBMCJournal of Medical Case Reports1752-19472024-01-011811510.1186/s13256-023-04276-3Successful therapy of complex regional pain syndrome after hip arthroscopy for femoroacetabular impingement syndrome: a case reportV. Twardy0R. von Eisenhart-Rothe1I. J. Banke2Klinik und Poliklinik für Orthopädie und SportorthopädieKlinikum rechts der Isar, TU MünchenKlinik und Poliklinik für Orthopädie und SportorthopädieKlinikum rechts der Isar, TU MünchenKlinik und Poliklinik für Orthopädie und SportorthopädieKlinikum rechts der Isar, TU MünchenAbstract Background Complex regional pain syndrome is a neuropathic pain disorder associated with ongoing pain that persists beyond the usual expected tissue healing time and that is disproportionate to the degree of tissue injury present. Complex regional pain syndrome after hip arthroscopy has not been reported before. Hip arthroscopy is a fast-growing domain that could lead to an increasing number of complex regional pain syndrome cases, probably owing to the high traction forces that are necessary. Case presentation We report the case of a 30-year-old German female semiprofessional tennis player who presented with complex regional pain syndrome type I in the lower leg 3 weeks after hip arthroscopy for femoroacetabular impingement syndrome with suture anchor labral repair and femoroplasty. After 2 months of immediate multimodal conservative therapy including administration of gabapentin, prompt full weight-bearing, and intensified physiotherapy, complete recovery was achieved. Conclusion Complex regional pain syndrome does occur after elective hip arthroscopy. Disproportionate postoperative pain or other symptoms raising suspicion of complex regional pain syndrome should be promptly evaluated and treated through a multimodal approach. Postless hip arthroscopy may be advantageous.https://doi.org/10.1186/s13256-023-04276-3Hip arthroscopyFemoroacetabular impingement syndrome (FAIS)Complex regional pain syndrome (CRPS)Arthroscopic complicationsCase report |
| spellingShingle | V. Twardy R. von Eisenhart-Rothe I. J. Banke Successful therapy of complex regional pain syndrome after hip arthroscopy for femoroacetabular impingement syndrome: a case report Journal of Medical Case Reports Hip arthroscopy Femoroacetabular impingement syndrome (FAIS) Complex regional pain syndrome (CRPS) Arthroscopic complications Case report |
| title | Successful therapy of complex regional pain syndrome after hip arthroscopy for femoroacetabular impingement syndrome: a case report |
| title_full | Successful therapy of complex regional pain syndrome after hip arthroscopy for femoroacetabular impingement syndrome: a case report |
| title_fullStr | Successful therapy of complex regional pain syndrome after hip arthroscopy for femoroacetabular impingement syndrome: a case report |
| title_full_unstemmed | Successful therapy of complex regional pain syndrome after hip arthroscopy for femoroacetabular impingement syndrome: a case report |
| title_short | Successful therapy of complex regional pain syndrome after hip arthroscopy for femoroacetabular impingement syndrome: a case report |
| title_sort | successful therapy of complex regional pain syndrome after hip arthroscopy for femoroacetabular impingement syndrome a case report |
| topic | Hip arthroscopy Femoroacetabular impingement syndrome (FAIS) Complex regional pain syndrome (CRPS) Arthroscopic complications Case report |
| url | https://doi.org/10.1186/s13256-023-04276-3 |
| work_keys_str_mv | AT vtwardy successfultherapyofcomplexregionalpainsyndromeafterhiparthroscopyforfemoroacetabularimpingementsyndromeacasereport AT rvoneisenhartrothe successfultherapyofcomplexregionalpainsyndromeafterhiparthroscopyforfemoroacetabularimpingementsyndromeacasereport AT ijbanke successfultherapyofcomplexregionalpainsyndromeafterhiparthroscopyforfemoroacetabularimpingementsyndromeacasereport |