Partial transient osteoporosis of the hand

Bianchi, Stefano; Abdelwahab, Ibrahim Fikry; García, Javier de Santiago

doi:10.1007/s002560050525

Cited by 8 publications

(8 citation statements)

References 25 publications

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“…Two articles presented case series but without details of the clinical findings and thus could not be used in this review [8,15]; four articles were about CRPS type 2 [4,5,7,14] and the case in the last article was not convincing [9]. Seven articles were finally included [3,6,10-13,16] involving 19 cases. The comparative sample consists of these articles.…”

Section: Resultsmentioning

confidence: 99%

“…Doury and Lequesne et al [1,4,5] proposed that one or two fingers at most must be affected. However, Soucacos et al [15] and Bianchi et al [16] proposed three fingers. Based on our experience, we propose to apply the diagnosis of partial CRPS when one to three rays are affected and when the disease does not spread to the whole hand later as part of overall CRPS progression.…”

Section: Discussionmentioning

confidence: 99%

“…Based on our experience, we propose to apply the diagnosis of partial CRPS when one to three rays are affected and when the disease does not spread to the whole hand later as part of overall CRPS progression. Some authors discussed a neurological origin of partial forms of CRPS [6,12,13,16] but they gave no evidence to support this hypothesis.…”

Section: Discussionmentioning

confidence: 99%

“…Most patients were men employed in industry and the building trade with persistent deficiencies as a result of an industrial, road traffic or sporting accident. Patients with a partial form involving a maximum of 3 rays [15,16] were selected from those with complete CRPS1 of the hand. All our patients satisfied the French criteria for CRPS1 (algodystrophy) [1].…”

Section: Methodsmentioning

confidence: 99%

“…In 1977 and 1979, Lequesne et al [4,5] described a form of partial algodystrophy termed “radial”, which follows a metameric topography on one or two rays of the hand or foot. Since then, a dozen articles have been devoted to the subject [6-16]. However, various diagnostic criteria were used in the literature and no clear diagnosis process for partial CRPS of the hand was given.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis of partial complex regional pain syndrome type 1 of the hand: retrospective study of 16 cases and literature review

2013

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BackgroundThe partial form of the complex regional pain syndrome of the hand type 1 (CRPS 1), involving only 1 to 3 fingers, is a rare condition first described in 1972. The aim of the study is to define more precisely the diagnosis workup and the prognosis of this clinical entity.MethodsRetrospective study of CRPS1 partial form observed during five years in a rehabilitation ward. Application of The Budapest criteria, evaluation of radiological exams, therapeutic results and vocational outcomes. Comparison with cases from literature review.Results132 patients were hospitalized with the diagnosis of CRPS type 1 of the hand. 16 partial forms were isolated: 11 men, 5 women with a mean age of 43 years. Among these patients, 14 (88%) met The Budapest criteria and the two remaining cases were diagnosed by using the three phase bone scintigraphy. Only moderate improvement was obtained in the majority of the patients. At the maximal time of follow-up (4 to 9 years), 50% of the patients hadn’t returned to work. From the literature review, 19 cases were eligible for clinical comparisons. The main differences between our series and the literature were: more men involved, later diagnosis and worst prognosis in term of return to work.ConclusionsThis is the largest series of consecutive partial form of CRPS. The Budapest criteria are sufficient for the diagnosis in 88% of cases. As in complete form of CRPS1 of the hand, three phase bone scintigraphy should only be used in doubtful cases in the first six months of the illness. Partial form of CRPS1 of the hand is rare and its prevalence remains unknown. Long term prognosis (4 to 9 years) is poor in our series, 50% of patients didn’t returned to work.

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