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Journal of Hand Surgery (European Volume)
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Article

Prevalence and severity of cold intolerance in patients after hand fracture

T. H. J. Nijhuis, E. S. Smits, J. B. Jaquet, F. J. T. Van Oosterom, R. W. Selles, Dr.*, and S. E. R. Hovius

Department of Plastic, Reconstructive and Hand Surgery, Medical Center Alkmaar, The Netherlands

* To whom correspondence should be addressed. E-mail: r.selles{at}erasmusmc.nl.


  Abstract

Cold intolerance is a well-known phenomenon that develops in the first months after hand injury and generally does not decrease over time. In this study, we evaluated the prevalence and severity of cold intolerance after hand fracture in 129 patients using the Cold Intolerance Symptom Severity (CISS) questionnaire. Patients with nerve and/or vascular injuries were excluded. The response rate was 59%. The mean CISS score was 23. Pathological cold intolerance, defined as a CISS score over 30, was experienced by 38% of the patients. Cold intolerance is common after hand fractures and can be severely disabling in some patients.

First published on August 17, 2009
Journal of Hand Surgery (European Volume) 2009, doi:10.1177/1753193409343050
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