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Case studies are posted regularly and the moderators response follows a few days after a case is posted. Please feel free to post your ideas we may find you have a better answer than the moderator!

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Best attempt at flexion - 11/12/2007
This patient is not able to achive anywhere close to a full fist after a blow to her hand. She has no fractures but has significant pain and motion limitations. What might be going on with her hand?

Moderators Response:
This patient has had CRPS for quite some time now. She is attempting to flex her hand in this photo and has very little active motion. Her passive is not much better. She was not in for therapy as she will not allow anyone to touch her hand but when she was in for a consult for a MMI report we took photos. Note the thick nails, hand discoloration and thumb extension posturing.
 
Name:
Comment:
 
11/14/2007
Dave
Possible RSD. The hand appears to have a shiny appearance from the picture which can be an indicator of RSD.
11/21/2007
Anonymous
RSD would be a possibility..the length of the fingernails stands out...
11/25/2007
Anonymous
tenosynovitis, or CPRS?
12/3/2007
Sendy
I would say she has RSD, considering the symptoms and the appearance of stiffness of fingers.
4/29/2008
Anonymous
look at the finger nails, shinny and molted skin.... loss of arches-CRPS or the beloved term RSD
11/12/2011
Anonymous
complex regional pain syndrome
 
     
   
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