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Hand (N Y) ; 17(1): 119-127, 2022 01.
Article in English | MEDLINE | ID: mdl-31916452

ABSTRACT

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.


Subject(s)
Complex Regional Pain Syndromes , Radius Fractures , Reflex Sympathetic Dystrophy , Complex Regional Pain Syndromes/epidemiology , Complex Regional Pain Syndromes/etiology , Complex Regional Pain Syndromes/therapy , Humans , Incidence , Pain/complications , Radius Fractures/diagnosis , Radius Fractures/epidemiology , Radius Fractures/therapy , Reflex Sympathetic Dystrophy/epidemiology , Reflex Sympathetic Dystrophy/etiology , Reflex Sympathetic Dystrophy/therapy
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