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Cold hypersensitivity 6 to 10 years after replantation or revascularisation of fingers: Consequences for work and leisure activities

From Rikshospitalet University Hospital, Oslo, Norway

^* To whom correspondence should be addressed.

	Abstract

We investigated cold hypersensitivity and activity in 81 adults (male/female 76/5), 6 to 10 years after finger replantation/revascularisation (mean age at injury 43 (SD 15) years). Questionnaires included the McCabe Cold Sensitivity Severity Scale, Potential Work-Exposure Scale and the Disabilities of the Arm, Shoulder and Hand (DASH) score. Eighty per cent of the respondents were cold hypersensitive; 20% were severely or extremely cold hypersensitive. Of the 74 patients employed at injury, 7% had changed work and 4% were not working due to cold hypersensitivity. The median score for cold exposure at work at follow-up was 153 (scale 0–300). The correlation between cold sensitivity and DASH work was low. One-third of the respondents experienced limitations in their leisure activities because of cold complaints. Long-term cold sensitivity was mild or moderate for most patients. Many cold hypersensitive patients managed to continue to work even under cold conditions and cold hypersensitivity was a greater problem in leisure activities.

Key Words: replantation, cold sensitivity, cold intolerance, function, McCabe Cold Sensitivity Severity Scale

First published on December 17, 2008, doi:10.1177/1753193408094440

Journal of Hand Surgery (European Volume) 2009;34:12.

A more recent version of this article appeared on February 1, 2009


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