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Pain Manag. 2017 Mar;7(2):133-140. doi: 10.2217/pmt-2016-0036. Epub 2017 Feb 1.

Complex regional pain syndrome in children: a systematic review of clinical features and movement disorders.

Author information

1
University of Edinburgh, Edinburgh, UK.
2
Forth Valley Royal Hospital, Stirlingshire, Larbert, FK5 4WR, UK.

Abstract

AIM:

To ascertain clinical features of complex regional pain syndrome (CRPS) in children with a focus on movement disorders.

METHODS:

all publications with original data on children with CRPS were assessed. Data were tabulated and descriptive statistics were applied.

RESULTS:

One population-based study and nine clinic-based studies provided data on demographic and clinical characteristics of childhood CRPS. Mean age of onset was 12.5 years and 85% of patients were females (risk ratio: 1.70; 95% CI: 1.54-1.88). History of trauma in 71% and the lower limbs were affected in 75% of patients. A secondary site involvement was present in 15%. Movement disorders and dystonia were reported in 30% of children.

CONCLUSION:

Majority of cases of CRPS in children are females with mean age of 12.5 years. Movement disorders (mainly dystonia) affect at least one in three children with CRPS.

KEYWORDS:

children and adolescents; complex regional pain syndrome; dystonia

PMID:
28142335
DOI:
10.2217/pmt-2016-0036
[Indexed for MEDLINE]

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