Fe. Pollock et al., PATTERNS OF MICROVASCULAR RESPONSE ASSOCIATED WITH REFLEX SYMPATHETICDYSTROPHY OF THE HAND AND WRIST, The Journal of hand surgery, 18A(5), 1993, pp. 847-852
The diagnosis of reflex sympathetic dystrophy is based on clinical pre
sentation and often the presence of a positive three-phase technetium
bone scan result. This study compared vasomotor control patterns betwe
en reflex sympathetic dystrophy patients with positive bone scan resul
ts and those with negative results. Both groups showed similar vasomot
or responses to isolated cold stress testing-warm, cold, and transitio
nal patterns of response were identified in both groups. Thus, this st
udy demonstrates that a positive technetium bone scan result does not
correlate with vasomotor disturbances in patients with reflex sympathe
tic dystrophy of the hand.