Field J, Atkins R M
University Department of Orthopaedics, Bristol Royal Infirmary, UK.
J Hand Surg Br. 1997 Apr;22(2):178-82. doi: 10.1016/s0266-7681(97)80057-5.
One hundred patients who had sustained a Colles' fracture were observed for features of algodystrophy at 1, 5, 9 and 12 weeks following injury. The diagnosis of algodystrophy was possible as soon as 1 week after fracture. Early diagnosis has important clinical implications: the aetiological factors may become apparent and different treatment modalities be identified; furthermore, early treatment can be started, limiting the morbidity of the condition. It is proposed that patients with features of algodystrophy require physiotherapy after a Colles' fracture. Those without features may not.
对100例柯莱斯骨折患者在受伤后1周、5周、9周和12周观察是否有营养障碍性骨萎缩的特征。骨折后1周即可诊断营养障碍性骨萎缩。早期诊断具有重要的临床意义:病因可能会变得明显,并且可以确定不同的治疗方式;此外,可以开始早期治疗,限制病情的发病率。建议有营养障碍性骨萎缩特征的柯莱斯骨折患者需要接受物理治疗。没有这些特征的患者可能不需要。