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Related Experiment Videos

Post-traumatic dystrophy of the extremities.

Z J Poplawski, A M Wiley, J F Murray

    The Journal of Bone and Joint Surgery. American Volume
    |June 1, 1983
    PubMed
    Summary
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    Post-traumatic dystrophy of the hand and foot often persists. Intravenous lidocaine and corticosteroid injections combined with physical therapy showed satisfactory results in most treated extremities, especially when initiated early.

    Area of Science:

    • Orthopedics
    • Pain Management
    • Rehabilitation Medicine

    Background:

    • Post-traumatic dystrophy, affecting the hand and foot, frequently leads to persistent symptoms.
    • Long-term follow-up in a large cohort indicates a high prevalence of ongoing issues.

    Purpose of the Study:

    • To evaluate the efficacy of intravenous lidocaine and corticosteroid injections followed by physical therapy for post-traumatic dystrophy.
    • To identify factors predicting treatment success.

    Main Methods:

    • A retrospective review of 126 patients with hand and foot dystrophy.
    • Treatment of 28 extremities in 27 patients using intravenous lidocaine and corticosteroid injections plus physical therapy.

    Main Results:

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  • Satisfactory or better outcomes were achieved in 21 of 28 treated extremities.
  • Eleven extremities showed excellent results, and ten demonstrated substantial improvement.
  • A short interval (less than six months) from symptom onset to treatment was the most significant predictor of improvement.

    • Conclusions:

    • Intravenous lidocaine and corticosteroid injections, coupled with physical therapy, offer a promising treatment for post-traumatic dystrophy.
    • Early intervention is crucial for maximizing treatment effectiveness in patients with hand and foot dystrophy.