Table 1.
Patients' Demographics, History, CRPS-Related Symptoms, and Physical Examination Findings
Case 1 | Case 2 | Case 3 | |
---|---|---|---|
Surgery | Shoulder arthroscopy Rotator cuff repair (supraspinatus) and open subpectoralis biceps tenodesis |
Shoulder arthroscopy Rotator cuff repair (supraspinatus and infraspinatus) and open subpectoralis biceps tenodesis |
Open Latarjet procedure Open capsulorrhaphy (bipolar bone loss instability) |
Anesthesia | Regional + sedation | Regional + sedation | Regional + sedation |
Age, y | 56 | 59 | 58 |
Sex | Female | Female | Female |
Affected upper limb | Right | Right | Right |
Occupation | Occupational therapist | Hospital housekeeper | Dance teacher |
Medical history | Obstructive sleep apnea GERD |
None | Anxiety Ankylosing spondylitis Osteoporosis Polycystic kidney disease GERD Diverticulitis Asthma COPD (smoking history) |
Surgical history | None | None | Cerebral aneurysm (embolization) Cholecystectomy Incontinence (sling) Tubal ligation |
Onset of symptoms (postoperative), d | 24 | 112 | 35 |
Symptoms | Shoulder to fingers Severe neurologic pain Swelling Muscle spasms |
Shoulder and Hand Sharp pain Swelling Stiffness |
Hand Severe neurologic pain Swelling Muscle spasms |
Physical examination findings | Stiffness (shoulder, hand, and wrist with normal elbow motion) Cutaneous hyperalgesia Warmth and hyperemia Swelling Loss of skin creases Nail changes Poor hand motion Poor grip strength |
Stiffness (shoulder, hand, and wrist with normal elbow motion) Cutaneous hyperalgesia Warmth and hyperemia Allodynia Poor hand motion Poor grip strength Pain to passive motion |
Stiffness (shoulder, hand, and wrist with normal elbow motion) Cutaneous hyperalgesia Warmth and hyperemia Allodynia Swelling Muscle fasciculations Skin discoloration Excessive sweating Cold intolerance |
COPD, chronic obstructive pulmonary disease; GERD, gastrointestinal reflux disease.