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Hand (N Y) ; 17(1): 119-127, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-31916452

RESUMO

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.


Assuntos
Síndromes da Dor Regional Complexa , Fraturas do Rádio , Distrofia Simpática Reflexa , Síndromes da Dor Regional Complexa/epidemiologia , Síndromes da Dor Regional Complexa/etiologia , Síndromes da Dor Regional Complexa/terapia , Humanos , Incidência , Dor/complicações , Fraturas do Rádio/diagnóstico , Fraturas do Rádio/epidemiologia , Fraturas do Rádio/terapia , Distrofia Simpática Reflexa/epidemiologia , Distrofia Simpática Reflexa/etiologia , Distrofia Simpática Reflexa/terapia
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