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 .
Wrist-bridging versus non-bridging external fixation for displaced distal radius fractures: A randomized assessor-blind clinical trial of 38 patients followed for 1 year
Background Non-bridging external fixation has been introduced to achieve better fracture fixation and functional outcomes in distal radius fractures , but has not been specifically evaluated in a r and omized study in the elderly . The purpose of this trial was to compare wrist-bridging and non-bridging external fixation for displaced distal radius fractures . Method The inclusion criteria were women ≥ 50 or men ≥ 60 years , acute extraarticular or intraarticular fracture , and dorsal angulation of ≥20 ° or ulnar variance ≥ 5 mm . The patients completed the disabilities of the arm , shoulder and h and ( DASH ) question naire before and at 10 , 26 and 52 weeks after surgery . Pain ( visual analog scale ) , range of motion and grip strength were measured by a blinded assessor . Results 38 patients ( mean age 71 years , 31 women ) were r and omized at surgery ( 19 to each group ) . Mean operating time was shorter for wrist-bridging fixation by 10 ( 95 % CI 3–17 ) min . There was no significant difference in DASH scores between the groups . No statistically significant differences in pain score , range of motion , grip strength , or patient satisfaction were found . The non-bridging group had a significantly better radial length at 52 weeks ; mean difference in change in ulnar variance from baseline was 1.4 ( 95 % CI 0.1–2.7 ) mm ( p = 0.04 ) . Volar tilt and radial inclination were similar in both groups . Interpretation For moderately or severely displaced distal radius fractures in the elderly , non-bridging external fixation had no clinical ly relevant advantage over wrist-bridging fixation but was more effective in maintaining radial length
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 .