Background
Methods
Population and diagnostic criteria
Radiological data
Evaluation of the results of treatment and of course
Literature review
Results
Population and clinical criteria
Our series (n = 16) | Literature (n = 19) | |||||
---|---|---|---|---|---|---|
Sex-ratio
|
11 M/5 W
|
8 M/ 11 W
| ||||
Average age
|
43 years (25 à 59 years)
|
48,1 years (18 à 71 years)
| ||||
Triggering factors
|
Traumatic
|
16
|
100.0%
|
Traumatic
|
14
|
74%
|
Non traumatic
|
0
|
0%
|
Non traumatic
|
5
|
26%
| |
Initial injury
|
Contusion/sprain
|
2
|
13%
|
Contusion/sprain
|
6
|
32%
|
Fracture/dislocation
|
5
|
31%
|
Fracture/dislocation
|
4
|
21%
| |
Tendinous injury
|
4
|
25%
|
Tendinous injury
|
0
|
0%
| |
Superficial wounds
|
0
|
0%
|
Superficial Wounds
|
4
|
21%
| |
Complex injury*
|
2
|
13%
|
Complex injury*
|
0
|
0%
| |
Others
|
3
|
19%
|
Others
|
5
|
27%
| |
Diagnosis extension (days)
|
Average
|
207
|
Average
|
81 (n = 15)
| ||
Median
|
149
|
Median
|
Unavailable
| |||
Mean number of sick leave days compensate
|
Before admission (n = 16)
|
202 (62 à 501)
|
Unavailable
| |||
After discharge (n = 14)
|
463 (13 à 1147)
| |||||
Outcome at the maximal endpoint
|
Change of work
|
3
|
19%
|
Complete recovery (12 to 16 months average = 6 months)
|
8
|
42%
|
Our series n = 15
|
Return to same work
|
4
|
25%
|
Incomplete improvement
|
6
|
32%
|
Literature n = 16
|
(6 to 12 months average = 8 months)
| |||||
No activity (unemployment, social security …)
|
8
|
50%
|
Permanent disability
|
2
|
10%
| |
Lost to follow up
|
1
|
6%
|
unavailable
|
3
|
16%
| |
Invalidity pension (Severe brain injury)
|
1
|
Our series (n = 16) | Literature (n = 19) | |||
---|---|---|---|---|
Clinical data | N | % | N | % |
(Budapest criteria) | ||||
Symptoms
| ||||
Continuing pain disproportionate
|
16
|
100
|
14
|
74
|
Decreased range of motion
|
16
|
100
|
3
|
16
|
Hyperesthesia and/or allodynia
|
11
|
69
|
6
|
32
|
Edema
|
9
|
56
|
4
|
21
|
Changes/asymmetry skin colour
|
7
|
44
|
2
|
11
|
Changes/asymmetry sweating
|
6
|
38
|
0
|
0
|
Temperature asymmetry
|
4
|
25
|
1
|
5
|
Trophic changes (hair, nail, skin)
|
3
|
19
|
0
|
0
|
Motor dysfunction
|
3
|
19
|
0
|
0
|
Clinical signs
| ||||
Decreased range of motion
|
16
|
100
|
17
|
90
|
Changes/asymmetry skin colour
|
12
|
75
|
9
|
47
|
Trophic changes
|
10
|
63
|
1
|
5
|
Hyperesthesia and/or Allodynia
|
10
|
63
|
10
|
53
|
Edema
|
9
|
56
|
10
|
53
|
Changes/asymmetry sweating
|
9
|
56
|
4
|
21
|
Temperature asymmetry
|
6
|
38
|
5
|
26
|
Motor dysfunction
|
4
|
25
|
0
|
0
|
Number of fingers injured
| ||||
1
|
7
|
44
|
10
|
52
|
2
|
2
|
12
|
7
|
37
|
3
|
6
|
38
|
2
|
11
|
2 bilateral
|
1
|
6
|
0
|
0
|
Radiographics data
| ||||
Standard roentgenogram
|
14
|
88
|
11
|
58
|
Normal
|
7
|
50
|
2
|
18
|
Diffuse demineralization of injured digits
|
6
|
43
|
8
|
72
|
Global Peri articular demineralization of all digits
|
1
|
7
|
1
|
10
|
Three-phase bone scaning
|
16
|
100
|
11
|
58
|
Available
|
15
|
94
|
11
|
58
|
No CRPS
|
3
|
20
|
0
|
0
|
CRPS Stage 1 et 1/2
|
7
|
47
|
11
|
100
|
CRPS Stage 2 et 2/3
|
4
|
27
|
0
|
0
|
CRPS Stage 3
|
1
|
6
|
0
|
0
|