RADIOGRAPHIC CHANGES IN ALGODYSTROPHY OF THE HAND

被引：17

作者：

BICKERSTAFF, DR ^{[1
]}

ODOHERTY, DP ^{[1
]}

KANIS, JA ^{[1
]}

机构：

[1] ROYAL HALLAMSHIRE HOSP,SHEFFIELD S10 2JF,S YORKSHIRE,ENGLAND

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1991年 / 16B卷 / 01期

关键词：

D O I：

10.1016/0266-7681(91)90126-9

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

It is not certain to what extent the radiographic features of post-traumatic algodystrophy can be differentiated from disuse atrophy following trauma. A semi-quantitative scoring system has been devised, grading the dominant features seen on radiography in both conditions following Colles' fracture. The technique had intra- and inter-observer errors of 14% and 17% respectively. When applied prospectively 7 weeks after Colles' fractures, there was a significantly greater score in patients with algodystrophy (p < 0.001) than those without. Analysis of the scores was performed to identify a score for the optimal identification of algodystrophy. At a score of four or greater, 87.5% of patients with algodystrophy were positively identified with a positive predictive value of 83%. It is suggested that use of this scoring system will aid in the early diagnosis of algodystrophy.

引用

页码：47 / 52

页数：6

共 23 条

[1]

Atkins, Duckworth, Kanis, Algodystrophy following Colles' fracture, Journal of Hand Surgery, 14 B, 2, pp. 161-164, (1989)

[2]

Bacorn, Kurtzke, Colles' Fracture. A Study of Two Thousand Cases from the New York State Workman's Compensation Board, Journal of Bone and Joint Surgery, 35 A, 3, pp. 643-658, (1953)

[3]

Doury, Dirheimer, Pattin, Algodystrophy: diagnosis and therapy of a frequent disease of the locomotor apparatus, (1981)

[4]

Eisinger, Acquaviva, D'Omezon, Schiano, Recordier, L'hydroxyprolinurie au cours des algodystrophies. Deductions thérapeutiques, Revue de Rhumatisme, 41, 6, pp. 455-458, (1974)

[5]

Feist, The biologic basis of radiologic findings in bone disease. Recognition and interpretation of abnormal bone architecture, Radiologic Clinics of North America, 8, 2, pp. 183-206, (1970)

[6]

Frykman, Fracture of the distal radius including sequelae—shoulder-hand-finger syndrome disturbance in the distal radio-ulnar joint and impairment of nerve function A clinical and experimental study, Acta Orthop Scand, (1967)

[7]

Geiser, Trueta, Muscle action bone rarefaction and bone formation An experimental study, J Bone Joint Surg Br, 40 B, 2, pp. 282-311, (1958)

[8]

Jones, Radiological appearances of disuse osteoporosis, Clinical Radiology, 20, 4, pp. 345-353, (1969)

[9]

Kleinert, Cole, Wayne, Harvey, Kutz, Atasoy, Post-traumatic Sympathetic Dystrophy, Orthopedic Clinics of North America, 4, 4, pp. 917-927, (1973)

[10]

Lidstrom, Fractures of the distal end of the radius. A clinical and statistical study of end results, Acta Orthopaedica Scandinavica, (1959)

← 1 2 3 →