FirstSearch text document delivered from oclc.org
 
   RECORD NO.:  95089902
       AUTHOR:  Inhofe PD; Garcia-Moral CA
      ADDRESS:  Department of Orthopedic Surgery and Rehabilitation, 
                University of Oklahoma Health Sciences Center, Oklahoma 
                City.
        TITLE:  Reflex sympathetic dystrophy. A review of the literature and 
                a long-term outcome study [see comments]
       SOURCE:  Orthop Rev (ORR), 1994 Aug; 23 (8): 655-61
     LANGUAGE:  English
 COUNTRY PUB.:  UNITED STATES
 ANNOUNCEMENT:  9503
    PUB. TYPE:  JOURNAL ARTICLE; REVIEW; REVIEW LITERATURE
 NUMBER REFS.:  15
     ABSTRACT:  According to the literature, approximately half of all 
                patients diagnosed with reflex sympathetic dystrophy respond 
                to nonoperative treatment. Because no long-term studies 
                exist, however, the relapse rate and outcome of this 
                condition are not known. In this paper, a historical review 
                and a brief discussion of the theories of pathogenesis of 
                the disease are presented. The results of treatment, as 
                documented in the literature, are also presented. This paper 
                also reports on 10 patients with reflex sympathetic 
                dystrophy who were treated nonoperatively and for whom a 
                follow-up of at least 1 year was documented. The patient 
                population and short-term results are consistent with those 
                found in the literature. Nine of the 10 patients were 
                contacted for long-term follow-up at an average of more than 
                5 years after diagnosis. A significant number of patients 
                experienced worsening of symptoms (56%) and reported that 
                their condition negatively affected their activities of 
                daily living (78%). Of those who were employed prior to 
                diagnosis, 67% reported a job change or unemployment 
                directly related to the disease. Therefore, the long-term 
                results of nonoperative treatment are not as encouraging as 
                is indicated in the literature.
        NOTES:  Comment in: Orthop Rev, 1994 Dec;23(12):921, 924-5
MESH HEADINGS:  *Reflex Sympathetic Dystrophy--classification (CL)/diagnosis 
                (DI)/etiology (ET)/therapy (TH); Activities of Daily Living; 
                Adolescence; Adult; Combined Modality Therapy; Follow-Up 
                Studies; Middle Age; Patient Satisfaction; Physical Therapy; 
                Propranolol--therapeutic use (TU); Remission Induction; Time 
                Factors; Treatment Outcome; Female; Human; Male
CHEMICAL SUBS:  525-66-6 (Propranolol)
 STANDARD NO.:  0094-6591
        DATES:  Entered 950113.  Revised 950606