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Annals of Physical and Rehabilitation Medicine
Volume 57, n° S1
page e253 (mai 2014)
Doi : 10.1016/j.rehab.2014.03.922
Pain / Douleur

Incidence and risk factors of complex regional pain syndrome type I after fracture of the distal radius
 

S. Salah, A. Jellad , S. Boudokhane, S. Mtawa, H. Migaou, Z. Ben Salah Frih
 CHU Fattouma Bourguiba, Monastir, Tunisia 

Corresponding author.

Keywords : Complex regional pain syndrome type 1, Fracture of the distal radius, Risk factors


Objective.– To examine the incidence and predictors of complex regional pain syndrome type I (CRPS I) after fracture of the distal radius.

Methods.– Prospective study including a consecutive sample of 90 patients with fracture of the distal radius treated by closed reduction and casting.

Main Outcome Measures were occurrence of CRPS I, Patient-Rated Wrist Evaluation, Hospital Anxiety and Depression Scale, and Medical Outcomes Study 36-Item Short-Form Health Survey at baseline and 1, 3, 6, and 9months follow-up.

Results.– CRPS I occurred in 29 patients (32.2%) with a mean delay of 21.7±23.7days from cast removal. Logistic regression showed that risk for CRPS I was higher in cases of women (OR=5.774; 95%CI, 1.391–23.966), medium and low energy trauma (OR=7.718; 95%CI, 1.136–52.44), Medical Outcomes Study 36-Item Short-Form Health Survey physical functioning score16 (OR=12.192; 95%CI, 4.484–43.478).

Conclusion.– CRPS I occurs frequently during the third and fourth week after cast removal, especially in women who report severe pain and impairment of physical quality of life. Additional prospective studies are required to verify these findings in comminuted and operated fractures of the distal radius.


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