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[A multidisciplinary approach to algodystrophy of the hand]
S Ehrler1, F Braun, A Didierjean
1Centre Régional d'Appareillage et SOS-Mains, Strasbourg.
Annales De Chirurgie De La Main : Organe Officiel Des Societes De Chirurgie De La Main
|January 1, 1987
Summary
Early diagnosis and treatment of reflex sympathetic dystrophy using TC99 bone scans and dynamic splinting can improve hand function. This study highlights the benefits of prompt intervention for better patient outcomes.
Area of Science:
- Orthopedics
- Nuclear Medicine
- Rehabilitation Medicine
Background:
- Reflex sympathetic dystrophy (RSD) can cause severe functional impairment.
- A multidisciplinary approach is crucial for managing RSD.
- Early diagnosis and intervention are key to mitigating disease sequelae.
Purpose of the Study:
- To evaluate the effectiveness of early dynamic splinting in flexion for reflex sympathetic dystrophy.
- To correlate isotopic findings from TC99 bone scans with clinical outcomes.
- To compare outcomes between early and delayed treatment groups for RSD.
Main Methods:
- Utilized three-phase TC99 bone scans for early diagnosis of RSD within one week of symptom onset.
- Implemented dynamic splinting in flexion as an early treatment strategy.
- Compared clinical outcomes and hand stiffness between patients receiving early versus delayed treatment.
Main Results:
- A correlation was observed between hand stiffness and isotopic findings on TC99 bone scans.
- Early dynamic splinting in flexion demonstrated clinical improvement in patients with RSD.
- Bone scan results corroborated the benefits of prompt therapeutic intervention.
Conclusions:
- Early diagnosis via TC99 bone scan allows for timely initiation of dynamic splinting in flexion.
- Prompt treatment of RSD is associated with improved hand function and reduced stiffness.
- A multidisciplinary, early-intervention approach is recommended for managing reflex sympathetic dystrophy.