Incidence of Chronic Regional Pain Syndrome I Following Foot & Ankle Fracture in Elderly Patient

Muhammad Bilal, Zaki Idrees, Mehroze Zamir, Affan Tayyab, Osama Bin Zia, Mohammad Zoha Farooq

ABSTRACT

Objective: To find the incidence of chronic regional pain syndrome (CRPS) following foot & ankle fractures in elderly patient.

Methods: This prospective study conducted in Liaquat National Hospital from January 2016 to December 2016. Patients were collected in study from clinics as well as from emergency. Both operative & conservatively managed patients with foot and ankle fractures above 40 years of age were included. Patients were regularly follow up 1 week, 6 weeks, 12 weeks & 6 months. Patients were screened for CRPS 1 using Budapest screening criteria & those who fulfilled criteria then were physically attended in pain clinic for diagnosis using Budapest criteria.

Results: 506 patients with foot and ankle fractures were attended in total. From these 220 (43.47%) patients had one symptom of CRPS, but only 08 (1.58%) patients met the criteria of diagnosing chronic regional pain syndrome. The incidence of chronic regional pain syndrome in following study is 1.58 %

Conclusion: Many patients experience symptoms of CRPS following foot & ankle fractures. According to our observation, incidence is higher in elderly population & those who are immobilized and kept non-weight bearing for prolonged time.

 

Key words: Chronic Regional Pain Syndromes, Incidence, Ankle and Foot Fractures, Elderly Patients,