Atkins R M, Duckworth T, Kanis J A
University of Sheffield Medical School, England.
J Bone Joint Surg Br. 1990 Jan;72(1):105-10. doi: 10.1302/0301-620X.72B1.2298766.
We report the results of a prospective study of the incidence of algodystrophy following Colles' fracture in 60 patients, using sensitive or quantitative techniques for the assessment of each feature of the syndrome. Nine weeks after fracture, 24 patients had evidence of vasomotor instability, 23 had significant tenderness of the fingers and 23 had lost finger movement. These three abnormalities were significantly associated (p less than 0.001). Swelling was also significantly associated with these three variables. There was no statistical association between the occurrence of algodystrophy and the patient's age or sex, the severity of the fracture, the number of reductions performed or the adequacy of the reduction. We conclude that algodystrophy constitutes a precisely definable and quantifiable syndrome which is more common than has been suspected.
我们报告了一项对60例Colles骨折后发生骨营养障碍发病率的前瞻性研究结果，采用敏感或定量技术评估该综合征的各项特征。骨折9周后，24例患者有血管运动不稳定的证据，23例手指有明显压痛，23例手指活动受限。这三种异常显著相关（p<0.001）。肿胀也与这三个变量显著相关。骨营养障碍的发生与患者的年龄、性别、骨折严重程度、复位次数或复位的充分性之间无统计学关联。我们得出结论，骨营养障碍是一种可精确界定和量化的综合征，其发生率比人们怀疑的更为常见。
