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Knee Surgery pp 23–37Cite as

Reflex Sympathetic Dystrophy Following Knee Surgery

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Abstract

Reflex sympathetic dystrophy (RSD) is a complex pathologic entity that may occur following surgery or trauma, resulting in abnormally intense and inappropriately prolonged pain that is not a reflection of actual or impending tissue damage in an affected area. Until recently, the syndrome was not well described in the knee. Persistent knee pain was traditionally thought to be due to various posttraumatic or postoperative conditions.1 The classification of post-traumatic pain is complicated. RSD is well established in the lay, medical, and legal literature despite the absence of defined pathophysiology or consistent clinical symptoms or signs. The term reflex sympathetic dystrophy, however, may inappropriately imply that the sympathetic nervous system is actively involved without proof of increased sympathetic activity. Disorders considered to be RSD and causalgia are now classified under the term complex regional pain syndrome (CRPS) and are based entirely on clinical criteria. The new terminology of CRPS will be used throughout the text except where RSD was originally used by cited authors.

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Authors
  1. David C. Pollock
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  2. Gary G. Poehling
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  3. L. Andrew Koman
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  4. Thomas L. Smith
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Editors and Affiliations

  1. Tyson’s Professional Building, Washington Orthopaedic and Knee Clinic, Inc., 8206 Lessburg Pike, #201, 22182, Vienna, VA, USA

    M. Mike Malek M.D.

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Pollock, D.C., Poehling, G.G., Koman, L.A., Smith, T.L. (2001). Reflex Sympathetic Dystrophy Following Knee Surgery. In: Malek, M.M. (eds) Knee Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-87202-0_4

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