The "Kick-Off" Position: A New Sign For Early Diagnosis Of RSD/CRPS In The Leg

July 27, 2011 | Posted in , | 13

Accidents resulting in even mild trauma can cause unanticipated adverse reactions to patients due to the unique physical composition of each person.

A retrospective review was conducted of 39 consecutive patients with CRPS type I or II seen in a foot and ankle clinic with this diagnosis based on those clinical findings. Complex regional pain syndrome (CRPS) is a clinical entity that develops after a precipitating injury and involves dysfunction of the sensory, autonomic, and motor systems, which is frequently missed initially. This report described a simple clinical sign that can aid in diagnosing RSD/CRPS.

Twenty-six patients had type I and 13 patients had type II  CRPS with the most common nerve involved in type II being the superficial peroneal nerve. Each patient, while sitting on the exam table, held the affected extremity with the knee extended against gravity. When the leg was pushed back to a relaxed and suspended position, the patient eventually involuntarily resumed the extended position. This position in which the patients held their legs was termed the “kick-off” position sign. Nine patients were seen at the foot and ankle clinic within 6 weeks of the initial inciting event and had an established “kick-off” position sign within 3 months from the time of injury. Upon the disappearance of the “kick-off” position sign the patient began experiencing pain.

Patients with CRPS have variable clinical presentations, so the awareness of this simple observation in the right clinical setting should raise the index of suspicion of CRPS in the differential diagnosis. Allowing for early treatment of this syndrome, which is associated with better outcome long term for the patient.

About Belt Law Firm, P.C.

Belt Law Firm, P.C., is an Alabama law firm with extensive national experience in representing RSD/CRPS afflicted persons and handling RSD/CRPS cases with a focus on regional litigation in Alabama, Tennessee, Georgia, Florida, Arkansas, Mississippi, Texas, New Mexico, Colorado and Delaware. To learn more, call the firm toll-free at 205-933-1500 or use its online form.


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About Belt Law Firm

We work as a team to bring results.

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The personal injury attorneys at Belt Law Firm have successfully represented RSD/CRPS clients in Alabama, Florida, Georgia, and Tennessee. These cases involved injuries from automobile accidents (shoulder injury, ankle fracture), product malfunctions (hand crush, wrist fracture), slip and falls (knee contusion, wrist fracture), poorly performed blood draws (antecubital pain), and crush injuries (ankle, Achilles tendon).

Among the settlements we have achieved in RSD/CRPS cases are: $2,500,000 for a (AL) slip and fall case involving a woman who developed RSD after suffering a broken wrist, $1,300,000 for a (FL) case where a woman developed RSD after an improperly performed blood draw, and $800,000 for a (TN) woman who developed RSD after suffering a bruised knee due to a slip and fall in a grocery store. ...Read More

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