1. Treatment of Distal Radius Fracture: Does Early Activity Postinjury Lead to a Lower Incidence of Complex Regional Pain Syndrome?
- Author
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Emily Z Boersma, JanPaul M Frölke, Frank P Klomp, Michael J. R. Edwards, Maria W.G. Nijhuis-van der Sanden, and Henk Vd Meent
- Subjects
medicine.medical_specialty ,anatomy ,diagnosis ,Pain ,distal radius ,Wrist ,outcomes ,Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,wrist ,Humans ,Medicine ,Orthopedics and Sports Medicine ,research and health outcomes ,Lead (electronics) ,Surgery Articles ,030222 orthopedics ,business.industry ,Incidence ,Incidence (epidemiology) ,Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3] ,medicine.disease ,Surgery ,Reflex Sympathetic Dystrophy ,Lower incidence ,Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10] ,trauma ,Complex regional pain syndrome ,medicine.anatomical_structure ,pain management ,Distal radius fracture ,hand ,specialty ,Active treatment ,fracture/dislocation ,Radius Fractures ,business ,Complex Regional Pain Syndromes ,030217 neurology & neurosurgery - Abstract
Contains fulltext : 249012.pdf (Publisher’s version ) (Open Access) Background: The optimal treatment for a distal radius fracture (DRF) remains an ongoing discussion. This study observed whether early activity postinjury can lead to the prevention of type 1 complex regional pain syndrome (CRPS-1). Method: Patients who underwent nonoperative treatment for a DRF were invited to participate in this study. Patients followed an exercise program with progressive loading exercises at home immediately after cast removal. After a minimum of 3 months, patients were interviewed by telephone to determine the presence of disproportionate pain. If present, the patients were seen during a clinical consultation to determine whether they had CRPS-1, using the Budapest Diagnostic Criteria. Results: Of the 129 patients included in this study, 12 reported disproportionate pain, and none were diagnosed with CRPS-1. The incidence of CRPS-1 was zero in this study. Conclusion: A more active treatment approach seems to lower the incidence of CRPS-1. A larger randomized study is necessary to strengthen the evidence.
- Published
- 2022