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Algodystrophy and its association with Dupuytren's disease
1University Department of Orthopaedic Surgery, Bristol Royal Infirmary, UK.
Journal of Hand Surgery (Edinburgh, Scotland)
|June 18, 1999
Summary
Colles' fracture patients showed a higher incidence of Dupuytren's disease. Those with algodystrophy were significantly more likely to develop Dupuytren's disease after their wrist fracture.
Area of Science:
- Orthopedics
- Hand Surgery
- Rheumatology
Background:
- Colles' fracture is a common wrist injury.
- Algorithrophy (also known as Complex Regional Pain Syndrome) and Dupuytren's disease are conditions affecting the hand and wrist.
- The association between these conditions requires further investigation.
Purpose of the Study:
- To determine the incidence of Dupuytren's disease following Colles' fracture.
- To investigate the association between algodystrophy and the development of Dupuytren's disease after Colles' fracture.
Main Methods:
- Seventy-two patients with Colles' fracture were assessed for algodystrophy at 9 weeks.
- These patients were re-evaluated at 18 months for evidence of Dupuytren's disease.
- Statistical analysis was performed to compare disease incidence based on algodystrophy presence.
Main Results:
- Overall, 41% of patients developed Dupuytren's disease 18 months post-fracture.
- Patients with algodystrophy showed a 67% incidence of Dupuytren's disease.
- Patients without algodystrophy had a 19% incidence of Dupuytren's disease.
Conclusions:
- Colles' fracture is associated with an increased risk of developing Dupuytren's disease.
- The presence of algodystrophy significantly elevates the risk of Dupuytren's disease after a Colles' fracture.
- Early identification and management of algodystrophy may be important in preventing Dupuytren's disease progression.