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Related Experiment Videos

Features of algodystrophy after Colles' fracture.

R M Atkins1, T Duckworth, J A Kanis

  • 1University of Sheffield Medical School, England.

The Journal of Bone and Joint Surgery. British Volume
|January 1, 1990
PubMed
Summary

Algodystrophy, a painful condition after Colles

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Area of Science:

  • Orthopedics
  • Pain Management
  • Rehabilitation Medicine

Background:

  • Colles' fracture is a common injury with potential for long-term complications.
  • Algodystrophy, also known as complex regional pain syndrome, can significantly impact recovery.
  • Accurate assessment of algodystrophy incidence and characteristics is crucial for effective patient management.

Purpose of the Study:

  • To prospectively investigate the incidence of algodystrophy following Colles' fracture.
  • To utilize sensitive and quantitative techniques for assessing algodystrophy features.
  • To identify factors associated with the development of algodystrophy post-fracture.

Main Methods:

  • Prospective study design involving 60 patients with Colles' fracture.
  • Utilized sensitive and quantitative techniques for assessing key algodystrophy features.
  • Evaluated patients at nine weeks post-fracture for vasomotor instability, tenderness, finger movement loss, and swelling.

Main Results:

  • At nine weeks, 24 patients (40%) exhibited vasomotor instability.
  • Significant tenderness (23 patients) and loss of finger movement (23 patients) were observed.
  • Swelling was also significantly associated with these clinical manifestations.

Conclusions:

  • Algodystrophy is a precisely definable and quantifiable syndrome.
  • The incidence of algodystrophy following Colles' fracture may be higher than previously suspected.
  • No statistical association was found between algodystrophy and patient age, sex, fracture severity, or reduction adequacy.

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