Document Detail

Secrétan's disease: a unique case report and literature review.
MedLine Citation:
PMID:  12650538     Owner:  NLM     Status:  MEDLINE    
Secrétan's disease was first described in 1901 as "hard edema and traumatic hyperplasia of the dorsum of the metacarpus." Other names for this process include peritendinous fibrosis, posttraumatic hard edema, and factitious lymphedema. Over the years, many theories have been proposed as to the etiology of the disease--trauma that leads to peritendinous fibrosis, hypersympathetic stimulus after an injury, and self-inflicted trauma. There is no consensus regarding pathophysiology, classification, prognosis, or treatment, but the literature suggests that Secrétan's disease is an injury that is self-inflicted either for secondary gain or as a conversion reaction and that is best treated with conservative care and psychiatric counseling. Our case report is unique in that our patient had an unusual presentation, underwent an upper extremity sympathectomy before developing Secrétan's disease, and returned to work soon after surgery.
Daniel N Moretta; Rex D Cooley
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  American journal of orthopedics (Belle Mead, N.J.)     Volume:  31     ISSN:  1078-4519     ISO Abbreviation:  Am J. Orthop.     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2003-03-24     Completed Date:  2003-05-07     Revised Date:  2010-01-05    
Medline Journal Info:
Nlm Unique ID:  9502918     Medline TA:  Am J Orthop (Belle Mead NJ)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  524-7     Citation Subset:  IM    
Doctors Hospital of Stark County, Ohio University College of Osteopathic Medicine, Athens, Ohio, USA.
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MeSH Terms
Accidents, Occupational
Edema / etiology*,  pathology,  surgery
Hand Injuries / complications*,  pathology
Pain / etiology*

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