Algodystrophy is an Early Complication of Colles’ Fracture

Field, J.; Atkins, R. M.

doi:10.1016/s0266-7681(97)80057-5

Cited by 69 publications

(39 citation statements)

References 11 publications

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“…Die klinische Symptomatik ist oft schlecht reversibel und mün-det nicht selten in Langzeitverläufe, welche die betroffenen Patienten langfristig invalidisieren. Nach 6 Monaten sind 2/3 der Patienten, nach  Jahr /3 der Patienten noch nicht beschwerdefrei [3,9]. Das häufige Auftreten mit geschätzten 5000 Neuerkrankungen pro Jahr in Deutschland, zusammen mit der Chronizität des Leidens bedingt eine erhebliche sozialmedizinische Bedeutung.…”

Section: Dystrophiesyndrom Nach Fußverletzungenunclassified

“…Wichtig erscheint die Auffassung einiger Autoren, dass auch bei Patienten ohne klassische Klinik mit nur inkompletter Symptomatik, beim Fehlen von entsprechenden Differenzialdiagnosen, die Diagnose CRPS in Betracht gezogen werden sollte. Hier sind v. a. posttraumatische Patienten zu nennen, bei denen nicht selten Spontanschmerzen eine untergeordnete Rolle spielen, jedoch die restlichen klinischen Zeichen in ausgeprägter Form vorliegen [3,9].…”

Section: Klinische Untersuchungunclassified

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Dystrophiesyndrom nach Fu�verletzungen

Gradl

2005

Trauma Berufskrankh

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Section: Dystrophiesyndrom Nach Fußverletzungenunclassified

Section: Klinische Untersuchungunclassified

Dystrophiesyndrom nach Fu�verletzungen

Gradl

2005

Trauma Berufskrankh

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“…Usually develops after seemingly benign injuries, mainly to the upper extremities (1)(2)(3)(4)(5). The most common inciting event is a distal radius fracture (DRF), irrespective of the treatment chosen (1,2,6,7). Besides soft tissue injuries and fractures, tightness of the plaster cast may increase the risk of A (8).…”

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confidence: 99%

“…There are various synonyms of A in the medical literature, like Complex Regional Pain Syndrome (CPRS), Reflex or Sudeck's Sympathetic Dystrophy (1,2,4,5,6,10). Burning pain is the most common clinical symptom suggesting this complication.…”

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confidence: 99%

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Wrist Algodystrophy Complicating Overdistraction of Distal Radial Fractures

Grala¹,

Hrycaj²,

Olewik-Gawlik³

et al. 2009

Polish Journal of Surgery

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Many publications list algodystrophy as one of the most common and disabling complications of distal radius fractures. Presented data suggest many possible factors leading to its development, where median nerve injury is an important risk factor. the aim of the study was to present our experience with such complications after hybrid external fixation of distal radius fractures. The operative procedure, as well as clinical symptoms of algodystrophy are described in details. material and methods. Among 14 patients with neglected or after secondarily displaced distal radius fractures treated with hybrid external fixator three developed algodystrophy, in two cases refractory to our management protocol. The operation was performed at three to five weeks after injury. All cases with algodystrophy had a period of overdistraction of bone fragments. These patients had electromyographic studies performed. This examination revealed serious damage to the median nerve in all cases. Additionally all of them presented with serious bone atrophy of the wrist as documented on radiograms. Results. A year after fracture all have persisting radiographic symptoms of wrist osteoporosis and two have poor functional result despite union of bone fragments in good anatomic alignment. conclusions. Prolonged overdistraction of bony fragments in distal radius fractures may produce injury to the median nerve and result in algodystrophy.

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Early Changes in Bone Density, Microarchitecture, Bone Resorption, and Inflammation Predict the Clinical Outcome 12 Weeks After Conservatively Treated Distal Radius Fractures: An Exploratory Study

Meyer

Jong

Bours

et al. 2014

Journal of Bone and Mineral Research

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Fracture healing is an active process with early changes in bone and inflammation. We performed an exploratory study evaluating the association between early changes in densitometric, structural, biomechanical, and biochemical bone parameters during the first weeks of fracture healing and wrist-specific pain and disability at 12 weeks in postmenopausal women with a conservatively treated distal radius fracture. Eighteen patients (aged 64 AE 8 years) were evaluated at 1 to 2 and 3 to 4 weeks postfracture, using high-resolution peripheral quantitative computed tomography (HR-pQCT), micro-finite element analysis, serum procollagen type-I N-terminal propeptide (P1NP), carboxy-terminal telopeptide of type I collagen (ICTP), and high-sensitive C-reactive protein (hsCRP). After 12 weeks, patients rated their pain and disability using Patient Rated Wrist Evaluation (PRWE) questionnaire. Additionally, Quick Disability of the Arm Shoulder and Hand (QuickDASH) questionnaire and active wrist range of motion was evaluated. Linear regression models were used to study the relationship between changes in bone parameters and in hsCRP from visit 1 to 2 and PRWE score after 12 weeks. A lower PRWE outcome, indicating better outcome, was significantly related to an early increase in trabecular bone mineral density (BMD) (b À0.96 [95% CI À1.75 to À0.16], R 2 ¼ 0.37), in torsional stiffness (À0.14 [À0.28 to À0.004], R 2 ¼ 0.31), and to an early decrease in trabecular separation (209 [15 to 402], R 2 ¼ 0.33) and in ICTP (12.1 [0.0 to 24.1], R 2 ¼ 0.34). Similar results were found for QuickDASH. Higher total dorsal and palmar flexion range of motion was significantly related to early increase in hsCRP (9.62 [3.90 to 15.34], R 2 ¼ 0.52). This exploratory study indicates that the assessment of early changes in trabecular BMD, trabecular separation, calculated torsional stiffness, bone resorption marker ICTP, and hsCRP after a distal radius fracture provides valuable information regarding the 12-week clinical outcome in terms of pain, disability, and range of motion and validates its use in studies on the process of early fracture healing.

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Algodystrophy is an Early Complication of Colles’ Fracture

Cited by 69 publications

References 11 publications

Dystrophiesyndrom nach Fu�verletzungen

Dystrophiesyndrom nach Fu�verletzungen

Wrist Algodystrophy Complicating Overdistraction of Distal Radial Fractures

Early Changes in Bone Density, Microarchitecture, Bone Resorption, and Inflammation Predict the Clinical Outcome 12 Weeks After Conservatively Treated Distal Radius Fractures: An Exploratory Study

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