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 .
Cast versus splint in children with minimally angulated fractures of the distal radius: a randomized controlled trial
Background : Minimally angulated fractures of the distal radius are common in children and have excellent outcomes . We conducted a r and omized controlled trial to determine whether the use of a prefabricated splint is as effective as a cast in the recovery of physical function . Methods : We included 96 children 5 to 12 years of age who were treated for a minimally angulated ( ≤ 15 ° ) greenstick or transverse fracture of the wrist between April 2007 and September 2009 at a tertiary care pediatric hospital . Participants were r and omly assigned to receive either a prefabricated wrist splint or a short arm cast for four weeks . The primary outcome was physical function at six weeks , measured using the performance version of the Activities Scale for Kids . Additional outcomes included the degree of angulation , range of motion , grip strength and complications . Results : Of the 96 children , 46 received a splint and 50 a cast . The mean Activities Scale for Kids score at six weeks was 92.8 in the splint group and 91.4 in the cast group ( difference 1.44 , 95 % confidence interval [ CI ] −1.75 to 4.62 ) . Thus , the null hypothesis that the splint is less effective by at least seven points was rejected . The between-group difference in angulation at four weeks was not statistically significant ( 9.85 ° in the splint group and 8.20 ° in the cast group ; mean difference 1.65 ° , 95 % CI −1.82 ° to 5.11 ° ) , nor was the between-group differences in range of motion , grip strength and complications . Interpretation : In children with minimally angulated fractures of the distal radius , use of a splint was as effective as a cast with respect to the recovery of physical function . In addition , the devices were comparable in terms of the maintenance of fracture stability and the occurrence of complications . ( Clinical Trials.gov trial register no. NCT00610220 .
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 .