Doppler sonographic assessment of posttraumatic reflex sympathetic dystrophy

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dc.contributor.authorPekindil, G
dc.contributor.authorPekindil, Y
dc.contributor.authorSarikaya, A
dc.date.accessioned2024-06-12T10:59:45Z
dc.date.available2024-06-12T10:59:45Z
dc.date.issued2003
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective. To reveal the arterial Doppler sonographic findings in cases of posttraumatic reflex sympathetic dystrophy. Methods. Eleven patients had hand reflex sympathetic dystrophy, and 9 had foot reflex sympathetic dystrophy. The duration of symptoms ranged from 1 to 28 weeks, and the history of fracture ranged from 6 to 48 weeks. Bilateral brachial or popliteal arteries proximal to injuries were evaluated by Doppler sonography with a 7.5-MHz linear transducer All patients also had triphasic bone scintigraphy and extremity thermography. Results. Two patients had monophasic waveforms and 4 had low-pulsatility triphasic waveforms on the affected limbs when compared with the asymptomatic limbs. All opposite asymptomatic limbs had normal triphasic waveforms in these 6 cases. Spectral analysis revealed a loss or decrease of a normal reversed flow component with a reduced pulsatility index on the affected limb. Fourteen other patients had symmetric triphasic waveforms. We observed that the patients who had stage 1 reflex sympathetic dystrophy and warm limbs with durations of symptoms of more than 2 weeks had positive Doppler sonographic findings, whereas all patients with stage 2 reflex sympathetic dystrophy and all with normal skin temperature, regardless of stage, had normal waveforms. Conclusions. Doppler sonography revealed loss of normal triphasic arterial waveforms in some of the cases of stage 1 disease, whereas many cases of stage 1 disease and all cases of stage 2 disease had normal findings. Therefore, we think that Doppler sonography cannot be used for the diagnosis of reflex sympathetic dystrophy but may help in assessing hemodynamic stages of the disease.en_US
dc.identifier.doi10.7863/jum.2003.22.4.395
dc.identifier.endpage402en_US
dc.identifier.issn0278-4297
dc.identifier.issn1550-9613
dc.identifier.issue4en_US
dc.identifier.pmid12693623en_US
dc.identifier.scopus2-s2.0-0038515323en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage395en_US
dc.identifier.urihttps://doi.org/10.7863/jum.2003.22.4.395
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20564
dc.identifier.volume22en_US
dc.identifier.wosWOS:000182769000010en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal Of Ultrasound In Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDoppler Sonographyen_US
dc.subjectReflex Sympathetic Dystrophyen_US
dc.subjectVascular Sonographyen_US
dc.subjectBone-Scintigraphyen_US
dc.subjectBlood-Flowen_US
dc.subjectExtremitiesen_US
dc.subjectPatternsen_US
dc.subjectHanden_US
dc.titleDoppler sonographic assessment of posttraumatic reflex sympathetic dystrophyen_US
dc.typeArticleen_US

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