Effective therapy of paediatric complex regional painsyndrome in the hand using brachial plexus block and steroid:a case report

<ns3:p>This article presents a case of severe complex regional pain syndrome (CRPS) of the right hand in a 12-year-old girlwhich developed after a trivial overload during physical exercise is presented. Imaging tests did not show any significantabnormalities, and the treatment administered in the 6 months prior to admission to the Clinic of General Surgery andHand Surgery in Szczecin was ineffective. On admission, the child rated the severity of resting pain at 6–7 on the NRS scale,the hand was positioned in restricted flexion at the wrist joint, and the fingers were extended. An intervention in the form ofa brachial plexus block was used, during which the deformity was corrected and the fingers were activated. At thesame time, pharmacotherapy with dexamethasone and mannitol was implemented. After 6 days of treatment, most ofthe symptoms disappeared and the hand regained partial functionality. The presented case confirms the justificationand effectiveness of a one-time intervention in the treatment of severe, refractory cases of CRPS in children.</ns3:p>