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

Author:

Abu-Arafeh Hashem12,Abu-Arafeh Ishaq2

Affiliation:

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.

Publisher

Future Medicine Ltd

Subject

General Medicine

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