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Algodystrophy Following Colles’ Fracture

From the Royal Hallamshire Hospital, Sheffield

Correspondence: Mr. R. M. Atkins, Consultant Senior Lecturer, Department of Orthopaedic Surgery, Bristol Royal Infirmary, Bristol BS2 8HW.

The prevalence of algodystrophy in the hand was determined at nine weeks and six months following Colles’ fracture. At nine weeks, 27 of 109 patients showed signs of algodystrophy, all of whom demonstrated more than one feature of the disorder. Thereafter, no unaffected patient developed the disorder. At six months, 62% of the previously affected patients showed some residual abnormalities. In 66% of these, there was evidence of continuing vasomotor instability or swelling, suggesting that the syndrome was still active. These observations suggest that algodystrophy of the hand is a more common complication of Colles’ fracture than is generally realised.

Journal of Hand Surgery (British and European Volume), Vol. 14, No. 2, 161-164 (1989)
DOI: 10.1016/0266-7681(89)90118-6


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