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Journal of Hand Surgery (British and European Volume)
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Articles

The Different Types of Algodystrophy after Fracture of the Distal Radius

Predictive criteria of outcome after 1 year

J. LAULAN
J-P. BISMUTH
G. SICRE
P. GARAUD

From the Services d’ Orthopédie 1 et 2, Centre Hospitalier Universitaire Trousseau, Tours, France

Correspondence: J. Laulan MD. Service d’Orthopédie 1, Centre Hospitalier Universitaire Trousseau, F-37044 Tours Cedex, France.

A prospective study of algodystrophy after fracture of the distal radius was carried out to search for early diagnostic and prognostic criteria. One hundred consecutive patients were assessed by a radiographic score and by a semi-quantitative clinical score at 1, 6 and 12 weeks and 1 year after fracture. The reactive disorders observed could be classified in four groups, each with a different course. There was a close link between patient satisfaction at 1 year and the group to which the patient belonged. Algodystrophy was diagnosed in 26% of cases. Of these, 58% were active and left sequelae at 1 year. A clinical score greater than 7 at 6 weeks predicted 96% of these cases of active algodystrophy. Active algodystrophy was more likely after a severe initial injury and if there was pain at the distal radioulnar joint.

Journal of Hand Surgery (British and European Volume), Vol. 22, No. 4, 441-447 (1997)
DOI: 10.1016/S0266-7681(97)80263-X
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