Only the DASH and PRWE have evidence of reliability , validity , and responsiveness in patients with traumatic injuries to the h and and wrist ; other measures either have incomplete evidence or evidence gathered in a nontraumatic population .
Conclusions : The DASH and PRWE both have evidence of reliability , validity , and responsiveness in a h and and wrist trauma population .
Other PROMs used to assess h and and wrist trauma patients do not .
Background : Patient-reported outcome measures ( PROMs ) are important tools for assessing outcomes following injuries to the h and and wrist .
Many commonly used PROMs have no evidence of reliability , validity , and responsiveness in a h and and wrist trauma population .
This systematic review examines the PROMs used in the assessment of h and and wrist trauma patients , and the evidence for reliability , validity , and responsiveness of each measure in this population .
Does an ulnar styloid fracture interfere with the results of a distal radius fracture?
Background The ulnar styloid is a supportive structure for the capsular ligament complex of the distal radioulnar joint . The relation between fractures of the ulna and distal radius is not clear , especially in regard to whether ulnar fractures predict worse outcomes for distal radius fractures . The objective of this study was to analyze the influence of ulnar styloid fractures in patients with reducible and unstable distal radius fractures . Methods A total of 100 patients with unstable and reducible distal radius fractures , with or without an ulnar styloid fracture , were r and omly assigned to treatment with transarticular bridging external fixation or transulnar percutaneous pinning . Follow-up was obtained for 91 patients . For the secondary data analysis , three patient cohorts were created : a no ulnar styloid fracture group with the radius fracture treated by pinning or external fixation ( n = 30 ) ; an ulnar styloid fracture with radius fracture group treated by external fixation ( n = 31 ) ; and an ulnar styloid fracture with radius fracture treated by pinning ( n = 30 ) . Functional and radiological outcomes were measured at 6 and 24 months . Functional outcome measures included wrist pain ( visual analogue scale ) and the Disabilities of the Arm , Shoulder , and H and ( DASH ) question naire . Results At 24 months , patients with both fractures had worse wrist pain and worse scores on the DASH question naire than the patients with an isolated distal radius fracture ; and those treated by pinning had less wrist pain and showed better scores on the DASH question naire than the patients treated by fixation . Conclusions Ulnar styloid fracture may be a predictive factor of worse functional outcome for distal radius fracture . Pinning and above-the-elbow casting , used to treat ulnar styloid fractures , led to better function than fixation
Only the DASH and PRWE have evidence of reliability , validity , and responsiveness in patients with traumatic injuries to the h and and wrist ; other measures either have incomplete evidence or evidence gathered in a nontraumatic population .
Conclusions : The DASH and PRWE both have evidence of reliability , validity , and responsiveness in a h and and wrist trauma population .
Other PROMs used to assess h and and wrist trauma patients do not .
Background : Patient-reported outcome measures ( PROMs ) are important tools for assessing outcomes following injuries to the h and and wrist .
Many commonly used PROMs have no evidence of reliability , validity , and responsiveness in a h and and wrist trauma population .
This systematic review examines the PROMs used in the assessment of h and and wrist trauma patients , and the evidence for reliability , validity , and responsiveness of each measure in this population .