Foot & Ankle Surgery: Techniques, Reports & Cases (Jan 2022)

Complex regional pain syndrome dystonia induced rigid adductovarus rearfoot: A surgical case study

  • Amida Kuah, DPM,
  • Carlos Arroyo, DPM, FACFAS,
  • Luis Rivera, MD

Journal volume & issue
Vol. 2, no. 3
p. 100237

Abstract

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Fixed dystonia secondary to complex regional pain syndrome is a rare condition, which is usually triggered by a traumatic injury. Complete remission of complex regional pain syndrome dystonia rarely occurs due to the complex nature of the pathology and limited treatment options. Here we present a case of complex regional pain syndrome dystonia in a 39 year old female, our multidisciplinary treatment approach, and surgical treatment plan. After sustaining a fall, the patient developed a rigid adductovarus rearfoot alongside complex regional pain symptoms. In conjunction with medical management with neurology, a soft tissue reconstructive surgery and a second osseous reconstructive surgery the patient was once again able to ambulate pain free with a plantigrade foot.LOCE: 4, case study

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