A Retrospective Review of Cold Intolerance Following Corrective Surgery for Dupuytren's Disease

McKirdy, Stuart; Jacobs, Neal; Nassab, Reza; Starley, Ian F

doi:10.1177/175899830701200203

Cited by 12 publications

(5 citation statements)

References 8 publications

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“…However, the replantation group was significantly more cold-sensitive compared to the revascularisation group also when the patients without nerve/bone injury were excluded from the analysis. Cold hypersensitivity may occur after injury of any tissue and is recognised after Dupuytren’s surgery (McKirdy et al, 2007) and tendon injuries (Riaz et al, 1999). Ruijs et al (2007) found higher prevalence of cold hypersensitivity in patients with combined median and ulnar nerve injuries than those with injury to only one of these nerves.…”

Section: Discussionmentioning

confidence: 99%

Cold Hypersensitivity 6 To 10 Years after Replantation or Revascularisation of Fingers: Consequences for Work and Leisure Activities

Vaksvik

Hetland

Røkkum

et al. 2008

J Hand Surg Eur Vol

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We investigated cold hypersensitivity and activity in 81 adults (male/female 76/5), 6 to 10 years after finger replantation/revascularisation (mean age at injury 43 (SD 15) years). Questionnaires included the McCabe Cold Sensitivity Severity Scale, Potential Work-Exposure Scale and the Disabilities of the Arm, Shoulder and Hand (DASH) score. Eighty per cent of the respondents were cold hypersensitive; 20% were severely or extremely cold hypersensitive. Of the 74 patients employed at injury, 7% had changed work and 4% were not working due to cold hypersensitivity. The median score for cold exposure at work at follow-up was 153 (scale 0-300). The correlation between cold sensitivity and DASH work was low. One-third of the respondents experienced limitations in their leisure activities because of cold complaints. Long-term cold sensitivity was mild or moderate for most patients. Many cold hypersensitive patients managed to continue to work even under cold conditions and cold hypersensitivity was a greater problem in leisure activities.

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Section: Discussionmentioning

confidence: 99%

Cold Hypersensitivity 6 To 10 Years after Replantation or Revascularisation of Fingers: Consequences for Work and Leisure Activities

Vaksvik

Hetland

Røkkum

et al. 2008

J Hand Surg Eur Vol

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“…The pathophysiological mechanisms are not fully elucidated, but seem to involve a multifactorial etiology, including neural (Irwin et al 1997 ), vascular (Hope et al 2014 ), as well as humoral (Koman et al 1998 ) aspects. Cold sensitivity has previously been studied as a sequela to upper extremity injuries, such as digital and hand amputation (Lithell et al 1997 ; Tark et al 1989 ), hand fracture (Nijhuis et al 2010 ), peripheral nerve and brachial plexus injury (Novak et al 2012 ; Ruijs et al 2007 ), upper extremity arterial injury (Klocker et al 2012 ), flexor tendon repair (Riaz et al 1999 ), corrective surgery for Dupuytren’s disease (McKirdy 2007 ), carpal tunnel syndrome (Thomsen et al 2009 ), freezing cold injury (Carlsson et al 2014 ), and hand–arm vibration (HAV) syndrome (Carlsson et al 2010c ; Necking et al 2002 ). Injuries aside, cold sensitivity has also been described in relation to diabetes mellitus (Thomsen et al 2009 ), and rheumatic diseases (Merkel et al 2002 ).…”

Section: Introductionmentioning

confidence: 99%

Cold sensitivity and associated factors: a nested case–control study performed in Northern Sweden

Stjernbrandt

Carlsson

Pettersson

et al. 2018

Int Arch Occup Environ Health

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PurposeTo identify factors associated with the reporting of cold sensitivity, by comparing cases to controls with regard to anthropometry, previous illnesses and injuries, as well as external exposures such as hand–arm vibration (HAV) and ambient cold.MethodsThrough a questionnaire responded to by the general population, ages 18–70, living in Northern Sweden (N = 12,627), cold sensitivity cases (N = 502) and matched controls (N = 1004) were identified, and asked to respond to a second questionnaire focusing on different aspects of cold sensitivity as well as individual and external exposure factors suggested to be related to the condition. Conditional logistic regression analyses were performed to determine statistical significance.ResultsIn total, 997 out of 1506 study subjects answered the second questionnaire, yielding a response rate of 81.7%. In the multiple conditional logistic regression model, identified associated factors among cold sensitive cases were: frostbite affecting the hands (OR 10.3, 95% CI 5.5–19.3); rheumatic disease (OR 3.1, 95% CI 1.7–5.7); upper extremity nerve injury (OR 2.0, 95% CI 1.3–3.0); migraines (OR 2.4, 95% CI 1.3–4.3); and vascular disease (OR 1.9, 95% CI 1.2–2.9). A body mass index ≥ 25 was inversely related to reporting of cold sensitivity (0.4, 95% CI 0.3–0.6).ConclusionsCold sensitivity was associated with both individual and external exposure factors. Being overweight was associated with a lower occurrence of cold sensitivity; and among the acquired conditions, both cold injuries, rheumatic diseases, nerve injuries, migraines and vascular diseases were associated with the reporting of cold sensitivity.

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“…Cold sensitivity can occur in connection with a variety of injuries and conditions. It is frequently reported after traumatic hand injuries [ 7 - 12 ], after surgically treated Dupuytren's contracture [ 13 ] and in patients with hand-arm vibration syndrome (HAVS) [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Self-reported cold sensitivity in normal subjects and in patients with traumatic hand injuries or hand-arm vibration syndrome

Carlsson

Rosén

Dahlin

2010

BMC Musculoskelet Disord

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BackgroundCold sensitivity is a common and disabling complaint following hand injuries. The main purpose of this study was to describe self-reported consequences of cold sensitivity and the association with disability and health-related quality of life in patients with hand injuries or hand-arm vibration syndrome (HAVS) and in normal subjects.MethodsResponses to the Cold Intolerance Symptom Severity (CISS) questionnaire, Potential Work Exposure Scale (PWES), Disability of the Arm, Shoulder and Hand (DASH) and Short-Form 36 questionnaire (SF-36) were investigated in normal subjects (n = 94), hand injured patients (amputation and nerve injuries, n = 88) and patients with HAVS (n = 30). The results are presented as median (range), percent and mean deviation from norms. The Kruskal Wallis Test or Mann-Whitney U-Test were used to identify significant differences between multiple groups or subgroups. The Spearman rank correlation was used to study the relationship between cold sensitivity and disability.ResultsAbnormal cold sensitivity (CISS score > 50) was seen in 75% and 45% of patients with HAVS and a traumatic hand injury, respectively. Patients were significantly more exposed to cold in their work environment than the normal population, with a consequently negative effect on work ability due to cold sensitivity. Patients with abnormal cold sensitivity were more seriously disabled and had a poorer health-related quality of life than patients with normal cold sensitivity [higher DASH scores and e.g. significantly larger mean deviation from norms in the subscales Role Physical and Bodily Pain (SF-36)].ConclusionSevere and abnormal cold sensitivity may have a profound impact on work capacity, leisure, disability and health-related quality of life. It is frequently seen in patients with traumatic hand injuries and particularly apparent in patients with HAVS.

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A Retrospective Review of Cold Intolerance Following Corrective Surgery for Dupuytren's Disease

Cited by 12 publications

References 8 publications

Cold Hypersensitivity 6 To 10 Years after Replantation or Revascularisation of Fingers: Consequences for Work and Leisure Activities

Cold Hypersensitivity 6 To 10 Years after Replantation or Revascularisation of Fingers: Consequences for Work and Leisure Activities

Cold sensitivity and associated factors: a nested case–control study performed in Northern Sweden

Self-reported cold sensitivity in normal subjects and in patients with traumatic hand injuries or hand-arm vibration syndrome

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