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 intra-articular fractures of the distal radius: fluoroscopic or arthroscopic reduction?
In a r and omised prospect i ve study , 20 patients with intra-articular fractures of the distal radius underwent arthroscopically- and fluoroscopically-assisted reduction and external fixation plus percutaneous pinning . Another group of 20 patients with the same fracture characteristics underwent fluoroscopically-assisted reduction alone and external fixation plus percutaneous pinning . The patients were evaluated clinical ly and radiologically at follow-up of 24 months . The Disabilities of the Arm , Shoulder , and H and ( DASH ) question naire and modified Mayo wrist score were used at 3 , 9 , 12 and 24 months postoperatively . In the arthroscopically- and fluoroscopically-assisted group , triangular fibrocartilage complex tears were found in 12 patients ( 60 % ) , complete or incomplete scapholunate ligament tears in nine ( 45 % ) , and lunotriquetral ligament tears in four ( 20 % ) . They were treated either arthroscopically or by open operation . Patients who underwent arthroscopically- and fluoroscopically-assisted treatment had significantly better supination , extension and flexion at all time points than those who had fluoroscopically-assisted surgery . The mean DASH scores were similar for both groups at 24 months , whereas the difference in the mean modified Mayo wrist scores remained statistically significant . Although the groups are small , it is clear that the addition of arthroscopy to the fluoroscopically-assisted treatment of intra-articular distal radius fractures improves the outcome . Better treatment of associated intra-articular injuries might also have been a reason for the improved outcome
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 .