Citation

Vaksvik T, Røkkum M, Holm I. J. Plast. Surg. Hand Surg. 2018; 52(6): 363-366.

Affiliation

Institute of Health and Society, Faculty of Medicine , University of Oslo , Oslo , Norway.

Copyright

(Copyright © 2018, Informa Healthcare)

DOI

10.1080/2000656X.2018.1520124

PMID

30289015

Abstract

We studied changes in cold hypersensitivity from 3 to 7 years following severe hand injuries. Data was collected using postal questionnaires 7 years after injury in 71 patients who had participated in a 3-year follow-up from the time of injury. There was no change in cold sensitivity measured using the McCabe Cold Sensitivity Severity scale (CSS) from 3 to 7 years after injury. However, there was a trend toward decreased severity measured using a five-level scale of self-reported cold hypersensitivity. Compared to the 3-year follow-up, fewer respondents rated their condition as severe and two patients had recovered from their cold hypersensitivity at the 7-year follow-up. Furthermore, 21 (30%) of the respondents stated a decrease in cold hypersensitivity during the last 2 years. Limitations in cold associated activities and the importance of being less limited in leisure activities (NRS 0-10) did not change between the two follow-ups. In conclusion, the CSS-scores did not change from 3 to 7 years after injury. Several patients experienced improvements in cold hypersensitivity, but few recovered completely from the condition.

Language: en

Keywords

Cold hypersensitivity; McCabe Cold Sensitivity Severity Scale CSS; cold intolerance; cold sensitivity; hand injury; nerve injury; replantation