Document Detail

Risk factors for complex regional pain syndrome in patients with traumatic extremity injury.
MedLine Citation:
PMID:  20517769     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: It is not clear why complex regional pain syndrome (CRPS) develops in some patients but not in others, despite similar initiating events. The aim of this study was to investigate risk factors for CRPS in cases who had suffered traumatic upper extremity injury. METHODS: One hundred sixty-five patients who had suffered a mechanical traumatic injury isolated to their hand or forearm were included in this study. Age, gender, body mass index, tissue types injured, and side of affected forearm/hand were investigated as possible risk factors for CRPS. RESULTS: CRPS was diagnosed in 84 patients. Female/male ratio was higher in patients with CRPS versus those without. The mean age was higher in patients with CRPS. The affected forearm/hand was the dominant side in 62.9% of patients without CRPS and in 64.2% of patients with CRPS. CRPS incidence was higher in patients with motor nerve injury and in patients with sensory nerve injury. A logistic regression showed that risk for CRPS was higher in patients with motor nerve injury and in females. CONCLUSION: This study indicates that motor nerve injury and female gender are risk factors for CRPS. The prevention measures should be focused mainly on females and patients with motor nerve injury in order to reduce the risk of CRPS.
Saliha Eroğlu Demir; Nihal Ozaras; Safak Sahir Karamehmetoğlu; Ilhan Karacan; Ebru Aytekin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES     Volume:  16     ISSN:  1306-696X     ISO Abbreviation:  Ulus Travma Acil Cerrahi Derg     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-06-02     Completed Date:  2010-08-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101274231     Medline TA:  Ulus Travma Acil Cerrahi Derg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  144-8     Citation Subset:  IM    
Department of Physical Medicine And Rehabilitation, Vakif Gureba Training And Research Hospital, Istanbul, Turkey.
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MeSH Terms
Arm Injuries / complications*
Body Mass Index
Complex Regional Pain Syndromes / epidemiology*,  etiology
Fractures, Bone / complications
Functional Laterality
Leg Injuries / complications*
Middle Aged
Motor Neurons
Regression Analysis
Retrospective Studies
Risk Factors
Wounds and Injuries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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