Poplawski Z J, Wiley A M, Murray J F
J Bone Joint Surg Am. 1983 Jun;65(5):642-55.
A series of 126 patients who had post-traumatic dystrophy of the hand and foot, with a follow-up of more than five years in most, is described. Nearly all had continuing symptoms and signs. An additional twenty-seven patients, with twenty-eight involved extremities, who were referred from various hospitals in Toronto were treated with one or more intravenous injections of a solution of lidocaine and corticosteroid followed by standard physical therapy. The results were satisfactory or better in twenty-one extremities and poor in seven. Of the twenty-one with a satisfactory result, eleven (six patients with involvement of the hand, bilateral in one, and four patients with involvement of the foot) had an excellent result while the other ten showed substantial improvement. The most important factor in predicting improvement with treatment was a short interval (less than six months) between the onset of dystrophy and the administration of therapy.
本文描述了126例手足创伤后营养不良患者，大多数患者随访时间超过5年。几乎所有患者都有持续的症状和体征。另外27例患者（涉及28个肢体）从多伦多的多家医院转诊而来，接受了一次或多次利多卡因和皮质类固醇溶液的静脉注射，随后进行标准物理治疗。21个肢体的治疗结果令人满意或更好，7个肢体的治疗结果较差。在治疗结果令人满意的21个肢体中，11个（6例手部受累，其中1例双侧受累，4例足部受累）效果极佳，另外10个有显著改善。预测治疗改善的最重要因素是营养不良开始至治疗给药之间的间隔时间短（少于6个月）。
