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 .
Open reduction and internal fixation compared to closed reduction and external fixation in distal radial fractures
Background and purpose In unstable distal radial fractures that are impossible to reduce or to maintain in reduced position , the treatment of choice is operation . The type of operation and the choice of implant , however , is a matter of discussion . Our aim was to investigate whether open reduction and internal fixation would produce a better result than traditional external fixation . Methods 50 patients with an unstable or comminute distal radius fracture were r and omized to either closed reduction and bridging external fixation , or open reduction and internal fixation using the TriMed system . The primary outcome parameter was grip strength , but the patients were followed for 1 year with objective clinical assessment , subjective outcome using DASH , and radiographic examination . Results At 1 year postoperatively , grip strength was 90 % ( SD 16 ) of the uninjured side in the internal fixation group and 78 % ( 17 ) in the external fixation group . Pronation/supination was 150 ° ( 15 ) in the internal fixation group and 136 ° ( 20 ) in the external fixation group at 1 year . There were no differences in DASH scores or in radiographic parameters . 5 patients in the external fixation group were reoperated due to malunion , as compared to 1 in the internal fixation group . 7 other cases were classified as radiographic malunion : 5 in the external fixation group and 2 in the internal fixation group . Interpretation Internal fixation gave better grip strength and a better range of motion at 1 year , and tended to have less malunions  than external fixation . No difference could be found regarding subjective 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 .