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Journal of Hand Surgery (British and European Volume)
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Articles

Complex Regional Pain Syndrome Type 1 after Fractures of the Distal Radius: A Prospective Study of the Role of Psychological Factors

P. PUCHALSKI
A. ZYLUK

From the Department of General and Hand Surgery, Pomeranian Medical University, ul. Unii Lubelskiej, Szczecin, Poland

Correspondence: Dr Piotr Puchalski, Department of General and Hand Surgery, ul. Unii Lubelskiej 1, 71-252 Szczecin, Poland. Tel./fax: +4891 4253196 E-mail: zyluka{at}sci.pam.szczecin.pl

A prospective study was designed to investigate the question "Do patients who develop Complex Regional Pain Syndrome Type 1 (CRPS Type 1) after fracture of the distal radius display different psychological behaviour patterns and/or are more depressive than those who recover uneventfully after this fracture?" Sixty-two patients of mean age 56 years with displaced distal radius fractures were operated on by closed reduction and percutaneous fixation with K-wires. All these patients were examined psychologically on the day after the operation. A series of standardized, self-administered questionnaires was used to assess personality and depression. Fifty of the 62 patients were reassessed at 2 months for symptoms and signs of CRPS Type 1 and a diagnosis of this condition made on clinical grounds. Nine patients (18%) were diagnosed as having CRPS Type 1. There were no significant differences in scores on any of the personality and depression scales between CRPS Type 1 and non-CRPS Type 1 patients. Therefore, patients who eventually developed CRPS Type 1 after radial forearm fracture had neither a unique psychological pattern nor displayed more symptoms of depression than those who recovered uneventfully.

Key Words: CRPS aetiology • CRPS psychological factors • distal radius fractures complications

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 6, 574-580 (2005)
DOI: 10.1016/J.JHSB.2005.06.023
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