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Treatment of Distal Radius Fracture: Does Early Activity Postinjury Lead to a Lower Incidence of Complex Regional Pain Syndrome?
- Source :
- Hand, 17, 119-127, Hand (New York, N.Y.), Hand, 17, 1, pp. 119-127
- Publication Year :
- 2022
-
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.
- 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
Subjects
Details
- ISSN :
- 15589447
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- Hand
- Accession number :
- edsair.doi.dedup.....30e144529bcc958b33baa20a10858b98