title: [A multidisciplinary approach to algodystrophy of the hand].
abstract: A multidisciplinary approach for the management of reflex sympathetic dystrophy at SOS Main of Strasbourg has been progressively adopted due to the severe functional sequelae of this disease. The TC99 bone scan in three phases has allowed us after a one week duration of the symptoms to make an early diagnosis and to start dynamic splinting in flexion. Our study compares two groups of patients, one with an early treatment and the other with delayed treatment. It shows a correlation between the stiffness of the affected hand and the isotopic findings. The benefit from an early dynamic splinting in flexion as evidenced by a clinical improvement is corroborated by the bone scan.
authors.affiliation: Centre Régional d'Appareillage et SOS-Mains, Strasbourg.
authors.forename: S
authors.initials: S
authors.lastname: Ehrler
authors.forename: F
authors.initials: F
authors.lastname: Braun
authors.forename: A
authors.initials: A
authors.lastname: Didierjean
authors.forename: G
authors.initials: G
authors.lastname: Foucher
authors.forename: A
authors.initials: A
authors.lastname: Constantinesco
authors.forename: J
authors.initials: J
authors.lastname: Demangeat
authors.forename: B
authors.initials: B
authors.lastname: Brunot
authors.forename: M
authors.initials: M
authors.lastname: Jesel
authors.forename: J M
authors.initials: JM
authors.lastname: Farcot
mesh_terms: D003131:Combined Modality Therapy; D006225:Hand; D006801:Humans; D010348:Patient Care Team; D011877:Radionuclide Imaging; D012019:Reflex Sympathetic Dystrophy / Q000000981:diagnostic imaging / Q000628:therapy*; D013165:Splints; D013669:Technetium Tc 99m Medronate; D013997:Time Factors
chemical_list: D013669:Technetium Tc 99m Medronate
vernacular_title: L'approche pluridisciplinaire de l'algodystrophie de la main.