AR is a 31-year-old male without significant past medical
history who sustained a left ankle injury while performing vertical jumps
during a workout. He developed left posterior tibial tendinitis that failed
conservative treatment. He underwent elective left posterior tibial tendon
repair with excision of an accessory bone and was non-weight-bearing for six
weeks. Postoperatively, he complained of worsening foot pain that resulted in
multiple emergency department visits. A workup included an x-ray of the left
foot that demonstrated diffuse osteopenia and demineralization; left lower
extremity arterial Doppler that demonstrated patent vessels; and an MRI of the
lumbar spine that demonstrated no significant central or foraminal stenosis.
Educational objectives:
Upon completion of this activity, participants should be
able to:
- Improve their diagnostic skills for identifying
Complex Regional Pain Syndrome
- Identify different types of motor disorders associated
with Complex Regional Pain Syndrome
- Improve their management in treating patients with
Complex Regional Pain Syndrome
Reading Resources:
- Price DD, et al. Analysis of
Peak Magnitude and Duration of Analgesia Produced by Local Anesthetics Injected
Into Sympathetic Ganglia of Complex Regional Pain Syndrome Patients. Clin J
Pain. 1998; 14(3): 216?226.
- Sherry DD, et al. Short- and
Long-term Outcomes of Children With Complex Regional Pain Syndrome Type I
Treated With Exercise Therapy. Clin J Pain. 1999; 15(3): 218?223.
- Lebel A, Becerra AL, Wallin
D, Moulton EA, Morris S, Pendse G, Jasciewicz J, Stein M, Aiello-Lammens M,
Grant E, Berde C, Borsook D. fMRI Reveals Distinct CNS Processing During
Symptomatic and Recovered Complex Regional Pain Syndrome in Children. Brain.
2008; 131: 1854?1879.
Disclosures:
Drs. Ho, Drakeley,
and Kandt have reported no relevant relationships with any entities
producing health care goods or services
All presenters disclosure of relevant financial
relationships with any entity producing, marketing, re-selling, or distributing
health care goods or services, used on, or consumed by, patients is listed
above. No other planners, members of the planning committee, speakers,
presenters, authors, content reviewers and/or anyone else in a position to
control the content of this education activity have relevant financial
relationships to disclose.
Accreditation Statement:
The University of Pittsburgh School of Medicine is
accredited by the Accreditation Council for Continuing Medical Education
(ACCME) to provide continuing medical education for physicians.
The University of Pittsburgh School of Medicine designates
this enduring material for a maximum of .5 AMA PRA Category 1
Credits?. Each physician should only claim credit commensurate with
the extent of their participation in the activity. Other health care
professionals are awarded (0.05) continuing education units (CEU) which are
equivalent to .5 contact hour.
For your credit transcript, please access our website 4
weeks post-completion at http://ccehs.upmc.com and follow the link to the
Credit Transcript page. If you do not provide the last 5 digits of your SSN on
the next page you will not be able to access a CME credit transcript. Providing
your SSN is voluntary.
Release Date: 8/21/2017 | Last Modified On: 8/21/2017 |
Expires: 8/21/2018
