RESUMO
Reflex sympathetic dystrophy syndrome (RSDS) is a well-defined entity, caused by many clinical conditions, leading to pain, stiffness, and vasomotor changes in the affected region. In this case, a 49-year-old man presented with a history of right foot pain secondary to a fall. Plain radiographs did not reveal any fractures or bony fusions. Upon follow-up, a history consistent with that found in RSDS was given. Radiographs at 7 and 11 weeks revealed increasing osteopenia, lytic lesions, and absent joint spaces in the first through third metatarsocuneiform articulations suggesting ankylosis. Other possible causes of ankylosis, including infection, inflammatory and metabolic conditions, were excluded.
Assuntos
Traumatismos do Tornozelo/complicações , Deformidades Adquiridas do Pé/etiologia , Metatarso/patologia , Distrofia Simpática Reflexa/complicações , Traumatismos do Tornozelo/diagnóstico por imagem , Deformidades Adquiridas do Pé/diagnóstico por imagem , Humanos , Masculino , Metatarso/diagnóstico por imagem , Pessoa de Meia-Idade , Osteoporose/etiologia , RadiografiaRESUMO
STUDY DESIGN: This study evaluated a lightweight Minerva cervicothoracic orthosis with an occipital flare and forehead strap. OBJECTIVE: The orthosis was evaluated for its ability to immobilize the cervical spine in normal healthy volunteers. SUMMARY OF BACKGROUND DATA: Previous studies have been performed to evaluate cervical orthoses. Exception for the halo brace, none have controlled the upper cervical spine very well. The brace tested in the present report incorporates an occipital flare and forehead strap to better control the upper cervical spine. METHODS: Sixteen healthy male volunteers were evaluated in and out of the orthosis in three planes of motion. Maximal active cervical flexion, extension, and lateral bending were recorded and measured radiographically. Rotation was measured from overhead photographs. RESULTS: In a comparison of the present results with those of similar previous studies, improvement in control of flexion/extension of the upper cervical spine and in control of rotation was found. The occiput to C1 level, however, remained poorly controlled. CONCLUSION: This orthosis provides good control of the cervical spine below C1.
