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Related Experiment Videos

Algodystrophy following Colles' fracture.

R M Atkins1, T Duckworth, J A Kanis

  • 1Royal Hallamshire Hospital, Sheffield.

Journal of Hand Surgery (Edinburgh, Scotland)
|May 1, 1989
PubMed
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Algodystrophy, a hand complication after Colles

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Rehabilitation Medicine

Background:

  • Colles' fracture is a common wrist fracture.
  • Algodystrophy, also known as Complex Regional Pain Syndrome (CRPS), can be a complication following fractures.
  • The exact prevalence and progression of hand algodystrophy after Colles' fracture require further investigation.

Purpose of the Study:

  • To determine the prevalence of algodystrophy in the hand at nine weeks and six months post-Colles' fracture.
  • To assess the resolution and persistence of algodystrophy symptoms over time.

Main Methods:

  • Prospective study involving patients with Colles' fracture.
  • Clinical assessment for signs of algodystrophy at nine weeks and six months.
  • Evaluation of specific symptoms including vasomotor instability and swelling.

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Main Results:

  • At nine weeks, 27 out of 109 patients (24.8%) exhibited algodystrophy.
  • All affected patients presented with multiple symptoms of the disorder.
  • At six months, 62% of initially affected patients showed residual abnormalities, with 66% of those still experiencing active symptoms like vasomotor instability or swelling.

Conclusions:

  • Algodystrophy of the hand is a more frequent complication of Colles' fracture than commonly recognized.
  • A significant proportion of patients experience persistent symptoms for at least six months.
  • Early identification and management of hand algodystrophy may be crucial for optimal recovery.