Özgen Merih, Gemiköz Merve, Atik Zeliha, Armağan Onur, Mutlu Fezan
Department of Physical Medicine and Rehabilitation, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey.
Department of Physical Medicine and Rehabilitation, Dr. Halil İbrahim Özsoy Bolvadin Public Hospital, Afyonkarahisar, Turkey.
Agri. 2021 Jan;33(1):23-27. doi: 10.14744/agri.2020.35002.
The aim of this study was to evaluate complex regional pain syndrome (CRPS) following hand/wrist injuries.
The sociodemographic characteristics of the patients and details regarding the presence of an occupational accident, the type of hand/wrist injury (bone, tendon, nerve, mixed), the Modified Hand Injury Severity Score (MHISS) (minor, moderate, severe, major), and the presence of CRPS were obtained from the hospital information system and analyzed.
A total of 311 patient files were included in the study. In all, 23.8% of the patients developed CRPS and 49.2% had mixed-type injuries. There was a relationship between the lesion type and the development of CRPS: a mixed type of injury was most common (p=0.015). Isolated nerve injuries were also associated with the development of CRPS (p=0.001). A significant difference was noted in the MHISS and CRPS occurrence in cases of major injury (p=0.003).
A high MHISS and/or nerve injury in patients with hand/wrist injuries may be a risk factor for the development of CRPS.
本研究旨在评估手部/腕部损伤后的复杂性区域疼痛综合征（CRPS）。
从医院信息系统获取患者的社会人口学特征以及有关职业事故的存在情况、手部/腕部损伤类型（骨骼、肌腱、神经、混合型）、改良手部损伤严重程度评分（MHISS）（轻度、中度、重度、极重度）和CRPS存在情况的详细信息，并进行分析。
本研究共纳入311份患者档案。总体而言，23.8%的患者发生了CRPS，49.2%为混合型损伤。损伤类型与CRPS的发生之间存在关联：混合型损伤最为常见（p = 0.015）。孤立性神经损伤也与CRPS的发生相关（p = 0.001）。在极重度损伤病例中，MHISS与CRPS发生率存在显著差异（p = 0.003）。
手部/腕部损伤患者中，较高的MHISS和/或神经损伤可能是发生CRPS的危险因素。
