Factors associated with complex regional pain syndrome type I in patients with surgically treated distal radius fracture

Abstract

High energy injuries, severe fractures, and the female gender contribute to the development of CRPS I after the surgical treatment of DRF. The results have important implications for physicians who wish to identify patients at high risk for CRPS I after operative fixation for DRF and instigate treatment accordingly.

Post-traumatic complex regional pain syndrome: clinical features and epidemiology

“…These data were obtained from a large observational prospective study. A number of 477 patients were analysed with a medium follow-up of 6 months and the 8,8% satisfied Budapest Criteria for CRPS diagnosis (25). Taken together these results can be useful for the identification of potential risk factors of CRPS after conservative or operative treatment of FDR.…”

“…Analysing the studies about incidence in patients with Fractures of Distal Radius (FDR) a variability from 0 to 37% can be found (24)(25)(26)(27). This difference can be explained by the different criteria used in the CRPS classification and by the different populations taken in exam.…”

“…The average time debut is 21.7±23.7 days after cast removal (24). On the other side surgical treatment of distal radius fracture is associated with a high risk of CRPS development in old female patients with a high-energy trauma or comminute fractures (25). These data were obtained from a large observational prospective study.…”

“…Hand, foot and ankle surgery seems to be the main cause of CRPS development after an operative treatment (25,30). The exact incidence of CRPS after orthopaedic surgery is unknown and this reflects the poorness of information regarding the real incidence and prevalence of this syndrome.…”

Algodystrophy in major orthopaedic surgery

“…Rewhorn et al (25) in a retrospective study of 390 patients who undergone elective foot and/or ankle surgery, reported a diagnosis of CRPS in 4.36% of cases, of which 82% were women. Recently, Roh et al (26), in a prospective observational study of 477 patients, reported CRPS I, according to Budapest criteria, in 42 (8.8%) of them within 6 months of surgery. Patients who developed this condition were more frequently older women and were more likely to sustain a high energy injury or have a comminuted fracture.…”