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 .
Treatment of reducible unstable fractures of the distal radius in adults: a randomised controlled trial of De Palma percutaneous pinning versus bridging external fixation
Background At present , there is no conclusive evidence regarding the best treatment method for reducible unstable fractures of the distal radius . This study compared the effectiveness of two methods used in surgical treatment of such fractures : percutaneous pinning and external fixation . Methods We r and omly allocated 100 patients into two groups treated surgically with modified De Palma percutaneous pinning and bridging external fixation .  Independent but not blinded evaluators administered the DASH quality -of-life question naire at postoperative months 6 and 24 , performed functional assessment of pain , range of motion , and palm grip strength , and radiographic examinations ( volar and radial angle , and height of the radius ) before the operation , immediately afterwards , and at 6 and 24 months postoperative . Modified De Palma percutaneous pinning patients used an above-elbow cast whereas external fixation group had unrestricted elbow motion after surgery . Patients who for any reason demonstrated treatment failure or required additional interventions were followed up and their results were included in the group into which these patients had initially been r and omised according to the intention-to-treat principle . A significance level of 5 % ( alpha = 0.05 ) . was used for all statistical tests , such that tests presenting a p-value less than 0.05 were considered statistically significant . Results Ninety one ( 58.8 mean age and 66 participants were female ) were included in the final assessment at 24 months . The DASH question naire evaluation showed a statistically significant result favouring the De Palma group ( mean difference = -7.1 p = 0.044 ) after six months , but this was not maintained at 24 months . There were no statistically differences between the groups with respect to palm grip strength . Analysis of the range-of-motion limitation index ( uninjured side minus affected side motion of ) showed a statistical difference ( mean difference = 2.4 p = 0.043 ) favoring the external fixator group with regard to the supination movement 6 months after the operation ; however , this was not maintained at 24 months . The final results of the radiographic evaluation were similar for the two groups . Overall , five patients developed complications : two with De Palma pinning and three with external fixation . Conclusion There was a small statistically significant difference favouring the De Palma method in early functional at 6 months according to the DASH question naire , and for supination movement favouring the fixator group . However , both were not clinical relevant . By 24 months the groups were similar for all outcomes Trial registration Current Controlled Trials IS RCT
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 .