反射性交感神経性ジストロフィーの経験

抄録

Thirty-three reflex sympathetic dystrophies of the upper extremities, one minor causalgia, three minor traumatic dystrophies, twenty-two shoulder-hand syndromes, five major traumatic dystrophies and two major causalgias, have been treated in the past three years.
There were eleven males and twenty-two females. The underlying lesions were as follows: three cerebrovascular diseases, one subdural hematoma, one Pancoast tumor, one fracture-dislocation of the shoulder, one broken humeral shaft, one total shoulder arthroplasty with Neer's prosthesis, one glenoid osteotomy, three shoulder contusions, five glenohumeral periarthritis, one massive cuff tear, one dislocation of the acromioclavicular joint, three Colles' fractures, one carpal tunnel syndrome, one infection of the thumb, three lacerations of the fingers, one fracture of the small finger, and five had unknown origins.
Twenty-one were treated by stellate ganglion blockade, two by oral prazosin, seven by oral steroid, four by intravenous injection of steroid and xylocaine, two by transcutaneous electrical nerve stimulation technique, ten by Guyon's canal blockade, and one by continuous epidural blockade, with twenty satisfactory results.