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Changes in cortical and trabecular bone in algodystrophy

D R Bickerstaff1, D Charlesworth, J A Kanis

  • 1Department of Human Metabolism and Clinical Biochemistry, University of Sheffield Medical School.

British Journal of Rheumatology
|January 1, 1993
PubMed
Summary
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Patients with Colles

Area of Science:

  • Orthopedics
  • Radiology
  • Bone Metabolism

Background:

  • Colles' fracture is a common injury.
  • Post-traumatic algodystrophy can develop after fractures.
  • Understanding bone loss patterns is crucial for treatment.

Purpose of the Study:

  • To investigate bone loss patterns in Colles' fracture patients.
  • To compare bone loss in patients with and without post-traumatic algodystrophy.
  • To assess the long-term effects on bone structure.

Main Methods:

  • Studied 77 patients with Colles' fracture.
  • Utilized metacarpal morphometry, single photon absorptiometry, and radiographic scoring.
  • Compared 44 patients with post-traumatic algodystrophy to controls.

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Main Results:

  • Both groups experienced bone loss during immobilization.
  • Algodystrophy patients showed significantly greater bone loss at 7 weeks (cortical and trabecular).
  • Bone recovery occurred in controls, but bone loss persisted in algodystrophy patients up to 1 year.

Conclusions:

  • Post-traumatic algodystrophy leads to greater regional skeletal loss than uncomplicated fractures.
  • This persistent bone loss may cause irreversible changes in bone architecture and strength.
  • Further research into managing algodystrophy-related bone loss is warranted.