Complex Regional Pain Syndrome and Distal Radius Fracture

Dutton, Lauren K.; Rhee, Peter C.

doi:10.1016/j.hcl.2021.02.013

Cited by 10 publications

(40 citation statements)

References 40 publications

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“…Similar to previous findings, the female gender was identified as an independent risk factor for CRPS I. Dutton and Rhee et al [ 30 ] conducted a systematic literature review demonstrating that being female (particularly postmenopausal) was a potential risk factor for CRPS I. It was also concluded that low vitamin C levels partly explained this phenomenon.…”

Section: Discussionsupporting

confidence: 75%

Relative Prevalence and Associated Factors of Complex Regional Pain Syndrome Type I in Patients with Radial Head Fractures Treated with Open Reduction and Internal Fixation: A Cross-Sectional Study

Jia

Ren

Shi

et al. 2022

Pain Research and Management

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Objective. This cross-sectional study aimed to examine the incidence and associated factors of complex regional pain syndrome type I (CRPS I) in patients who underwent open reduction and internal fixation (ORIF) for radial head fractures. Methods. The study enrolled 601 radial head fracture patients treated with ORIF, 523 of which completed the 1-year follow-up. The incidence of CRPS I in those patients was assessed using the Budapest criteria. Patients were then divided into 2 groups: patients with CRPS I (n = 28) and patients without CRPS I (n = 495). The patients’ demographic and clinical data before the operation were prospectively collected by our team. Independent t-tests and χ2 tests were used as univariate analyses to compare the demographic and clinical data between the two groups. Meanwhile, multivariate regression analysis was conducted to identify the associated risk factors for CRPS I. Results. The incidence of CRPS I in patients with radial head fractures treated with ORIF was 5.5% during the first year following surgery. Significant differences were observed in age, gender, type of trauma, modified Mason Classification, and depressive personality disorders. The logistic regression analysis revealed that the female gender, modified Mason type III fractures, and depressive patients were significantly more likely to develop CRPS I ( p = 0.021 , 0.023, and 0.025, respectively). Conclusions. The incidence of CRPS I among radial head fracture patients undergoing ORIF was 5.5%. In addition, early detection of CRPS I and providing adequate intervention will likely result in greater benefits for those patients.

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Section: Discussionsupporting

confidence: 75%

Relative Prevalence and Associated Factors of Complex Regional Pain Syndrome Type I in Patients with Radial Head Fractures Treated with Open Reduction and Internal Fixation: A Cross-Sectional Study

Jia

Ren

Shi

et al. 2022

Pain Research and Management

View full text Add to dashboard Cite

show abstract

“…This was diagnosed at an average of 97 days SD 84 following surgery (Jo et al., 2019). Compared with patients without CRPS, patients who develop CRPS are more likely to have been treated with surgery, mostly underwent open reduction, have rheumatoid arthritis, be female, have accompanying ulnar fracture or sustained an open fracture (Dutton and Rhee, 2021; Jo et al., 2019). Treatment and prevention of CRPS continues to be controversial.…”

Section: Early Complications (<90 Days After Surgery)mentioning

confidence: 99%

Complications of operatively treated distal radial fractures

Townsley,

Pulos,

Shin

2024

J Hand Surg Eur Vol

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Distal radial fractures represent the most common fractures of the upper extremity. Operative treatment is performed for approximately one-third of distal radial fractures in the adult population. Complications following operative treatment of distal radial fractures vary depending on the treatment modality and can be stratified into preoperative and postoperative complications. Complications can occur in the near, intermediate and long term. The most common complications seen are tendon irritation and rupture, chronic regional pain syndrome (CRPS), carpal tunnel syndrome, ulnar or radial neuropathy, compartment syndrome, malunion, inadequate fixation or loss of fixation, symptomatic hardware, post-traumatic arthritis, stiffness and infection. Careful planning, treatment and patient selection can help to mitigate these complications. Level of evidence: V

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“…Distal radius fracture (DRF) is one of the most prevalent fractures in the upper extremity, which occurs within 3 cm of the articular surface of the lower radius [ 1 ]. DRFs are mainly characterized by local pain, swelling, deformity, and sometimes subcutaneous congestion [ 2 ]. In 2014, there were about 580,000 cases of DRFs in China [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of electroacupuncture in assisting postoperative healing of distal radius fractures: study protocol for a randomized controlled trial

Cai

Ouyang

et al. 2022

J Orthop Surg Res

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Background Manual reduction and surgical treatment are common methods for distal radius fractures (DRFs). The existing literature suggests that postoperative combined rehabilitation treatment and medication are effective for the healing of DRFs. However, the side effects of these treatments remain to be solved. Previous studies have shown that electroacupuncture (EA) can effectively relieve wrist swelling and improve the joint function in patients with DRFs, but more evidence is needed to prove the effectiveness of EA. This trial aims to explore the efficiency and feasibility of combined EA treatment in postoperative treatment of DRFs compared with routine treatment. Methods This is a parallel randomized controlled trial. A total of 222 patients diagnosed with moderate DRFs will be recruited and randomly assigned to an EA group or a routine treatment group at a ratio of 1:1. Routine treatment group will receive medication and rehabilitation. Yangxi (LI 5), Yangchi (TE 4), Yanggu (SI 5), Hegu (LI 4), and Taiyuan (LU 9) will be selected in the EA group for intervention three times a week on the basis of routine treatment. Both groups will receive 8 weeks of treatment and 4 weeks of follow-up. The primary outcome will be ulnar positive variance. The secondary outcomes will include radiographic healing rate, bone strength, hemorheological indices, serum biochemical indicators and inflammatory factors, grip strength, wrist swelling score, patient-rated wrist evaluation, disabilities of arm, shoulder and hand, and visual analogue scale. Outcomes will be evaluated at baseline, postoperative 3rd day, 2nd, 4th, 6th, 8th, and 12th weeks. Discussion The results of this study will help establish a more optimized scheme to treat patients with DRFs. Trial registration Chinese Clinical Trial Registry ChiCTR2200062857. Registered on 21 August 2022, www.chictr.org.cn/com/25/showproj.aspx?proj=175567.

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Complex Regional Pain Syndrome and Distal Radius Fracture

Cited by 10 publications

References 40 publications

Relative Prevalence and Associated Factors of Complex Regional Pain Syndrome Type I in Patients with Radial Head Fractures Treated with Open Reduction and Internal Fixation: A Cross-Sectional Study

Relative Prevalence and Associated Factors of Complex Regional Pain Syndrome Type I in Patients with Radial Head Fractures Treated with Open Reduction and Internal Fixation: A Cross-Sectional Study

Complications of operatively treated distal radial fractures

Efficacy of electroacupuncture in assisting postoperative healing of distal radius fractures: study protocol for a randomized controlled trial

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