Article

Identification of risk
factors for CRPS development in patients with surgically treated traumatic
injuries attending hand therapy allows to watch at-risk patients more closely for
early diagnosis and to take precautionary measures as required. PURPOSE OF THE
STUDY: The aim of this study was to evaluate the risk factors for the development
of complex regional pain syndrome (CRPS) after surgical treatment of traumatic
hand injuries. METHODS: In this prospective cohort, 291 patients with traumatic
hand injuries were evaluated 3 days after surgery and monitored for 3 months for
the development of CRPS. The factors assessed for the development of CRPS were
age, sex, manual work, postoperative pain within 3 days measured on a Pain
Numerical Rating Scale (0-10), and injury type (crush injury, blunt trauma, and
cut laceration injury). RESULTS: CRPS was diagnosed in 68 patients (26.2 %) with
a duration of 40.10 +/- 17.01 days between the surgery and CRPS diagnosis. The
mean postoperative pain score was greater in patients with CRPS than in those
without CRPS (P < .001). Patients with pain scores >/= 5 had a high risk of
developing CRPS compared with patients with pain scores <5 (odds ratio: 3.61,
confidence interval = 1.94-6.70). Patients with crush injuries were more likely
to develop CRPS (odds ratio: 4.74, confidence interval = 2.29-9.80). CONCLUSIONS:
The patients with a pain score of >/=5 in the first 3 days after surgery and the
patients with crush injury were at high risk for CRPS development after surgical
treatment of traumatic hand injuries. LEVEL OF EVIDENCE: II b.
CI - Copyright (c) 2017 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS