Dürr W
Unfallchirurg. Abteilung und bg. Sonderstation für Schwerunfallverletzte am Krankenhaus Ev. Stift., Koblenz.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:693-9.
Clinical and radiological features of Sudeck's dystrophy following radius fracture are described. Peripheral and endogenous factors are pointed out. Therapy consists in preventing and alleviating pain by primary immobilisation combined with gentle physical therapy of the non-involved parts of both upper extremities. Calcitonin, non-steroid antirheumatic and anxiolytic drugs should be administered simultaneously. The physician's care and tolerance of the mentally upset and labile patient are essential. Physiotherapy plays a major role in the long-standing rehabilitation process.
本文描述了桡骨骨折后苏戴克氏营养不良的临床和放射学特征。指出了外周和内源性因素。治疗包括通过初次固定结合对双上肢未受累部位进行轻柔物理治疗来预防和减轻疼痛。应同时给予降钙素、非甾体类抗风湿药和抗焦虑药。医生对情绪不安且易变的患者的关怀和包容至关重要。物理治疗在长期康复过程中起主要作用。