THE INTERNAL CONSISTENCY AND VALIDITY OF THE PATIENT EVALUATION MEASURE FOR OUTCOMES ASSESSMENT IN DISTAL RADIUS FRACTURES

2007 ◽  
Vol 32 (3) ◽  
pp. 262-267 ◽  
Author(s):  
D. P. FORWARD ◽  
J. S. SITHOLE ◽  
T. R. C. DAVIS
Keyword(s):  
Distal Radius ◽  
Internal Consistency ◽  
Objective Measures ◽  
Distal Radial Fracture ◽  
Strongly Correlated ◽  
Patient Evaluation ◽  
Radial Fracture ◽  
Radius Fractures ◽  
Evaluation Measure ◽  
Fracture Outcome

The internal consistency and validity of the Patient Evaluation Measure (PEM) was investigated in the setting of the distal radius fracture by assessing 200 patients 6 to 42 years after injury using the PEM and DASH questionnaires and objective measures of outcome. The PEM was completed separately for both the injured and uninjured wrist. We found highly significant correlations between the PEM and objective measures and, also, between the PEM and DASH scores. We also calculated a comparative PEM score by subtracting the score of the uninjured wrist from that of the injured side, to eliminate the effect of co-existing disease. This score was more strongly correlated with outcome than the PEM alone. We suggest that the PEM is a valid method of assessing distal radial fracture outcome. It may, also, be used to reduce the effect of symptoms from coexisting bilaterally represented pathologies.

scholarly journals The Michigan Hand Outcomes Questionnaire (MHQ-Swe) in patients with distal radius fractures—cross-cultural adaptation to Swedish, validation and reliability

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
J. Blomstrand ◽  
J. Karlsson ◽  
M. Fagevik Olsén ◽  
G. Kjellby Wendt
Keyword(s):  
Distal Radius ◽  
Internal Consistency ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Distal Radius Fractures ◽  
Cultural Issues ◽  
Validity And Reliability ◽  
Radius Fractures ◽  
Swedish Version ◽  
Cross Cultural Adaptation

Abstract Background The Michigan Hand Outcomes Questionnaire—MHQ—is a well-known self-assessment questionnaire, where patients’ own perception in terms of recovery, pain and the ability to return to activities of daily living is assessed. The purpose of the study was to translate and culturally adapt the Michigan Hand Outcomes Questionnaire to Swedish and to test the validity and reliability in patients with surgically treated distal radius fractures. Methods The cross-cultural adaptation and the translation process were conducted according to predefined guidelines. Seventy-eight patients with surgically treated distal radius fractures completed the translated version of the questionnaire on their six-week follow-up visit. Results The translation and cross-cultural adaptation process revealed no major linguistic or cultural issues. The internal consistency of the MHQ-Swe ranged from 0.77 to 0.94 at test 1 and from 0.81 to 0.96 at test 2 for all subscales, which indicates good internal consistency in the subscales. The hand function subscale revealed the lowest results and work performance the highest. The ICCs showed excellent test-retest reliability, ranging from 0.77 to 0.90 on all MHQ subscales and 0.92 on total score. The highest results for the ICC were seen in the satisfaction subscale (ICC = 0.90), while the lowest were seen in the aesthetic subscale (ICC = 0.77). The correlation analysis between the MHQ-Swe, PRWE and VAS showed a generally moderate to high correlation for all the subscales. Conclusions The Swedish version of the MHQ, the MHQ-Swe, showed good validity and reliability and it is therefore an appropriate and relevant questionnaire for use in patients with surgically treated distal radius fractures. Trial registration FoU i VGR, Projectnumber: 208491, registered December 9, 2015.

scholarly journals Volar Fixation of Dorsally Displaced Distal Radial Fracture Using Locking Compression Plate

2005 ◽  
Vol 13 (2) ◽  
pp. 153-157 ◽  
Author(s):  
KK Wong ◽  
KW Chan ◽  
TK Kwok ◽  
KH Mak
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Locking Compression Plate ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Distal Radial Fractures ◽  
Compression Plate ◽  
One Year ◽  
Compression Plating ◽  
Unstable Fractures

Purpose. To evaluate the functional and radiological results of treating unstable fractures of the dorsal distal radius with a volar locking plate. Methods. Dorsally displaced distal radial fractures in 30 patients (11 men and 19 women; mean age, 58.6 years) were fixed by volar locking compression plate and followed up for a minimum of one year. Results. At final functional assessment, 24 patients achieved excellent and 5 achieved good outcomes, with one patient exhibiting fair results. Radiological scores demonstrated 22 excellent and 8 good outcomes. No nonunion or infection occurred. Conclusion. Volar locking compression plating is a safe and effective treatment for unstable fractures of the dorsal distal radius.

scholarly journals Perfil epidemiológico das fraturas radiais distais em hospital de referência em Ribeirão Preto, Brasil

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Felipe Azevedo Mendes de Oliveira ◽  
Thiago Agostini Pereira Albeny ◽  
Luis Guilherme Rosifini Alves Rezende ◽  
Filipe Jun Shimaoka ◽  
Amanda Favaro Cagnolati ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Case Series ◽  
High Energy ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Distal Radial Fracture ◽  
Fracture Treatment ◽  
Radius Fractures ◽  
Distal Radial Fractures

Objetivo: Avaliar o perfil epidemiológico das fraturas do rádio distal em hospitais de referência em Ribeirão Preto(SP), Brasil. Não existem dados suficientes na literatura nacional que corroborem com o perfil epidemiológico das fraturas do rádio distal. Métodos: 245 pacientes apresentaram 254 fraturas do rádio distal, ocorridas entre 2014 a 2017 foram avaliadas retrospectivamente para obtenção do perfil epidemiológico. Os fatores analisados foram idade e sexo, mecanismo do trauma, sazonalidade, tipo de fratura baseada na Classificação AO, presença de exposição óssea, lesões associadas, tipo de tratamento realizado (conservador ou cirúrgico) e o tipo de implante utilizado nos tratamentos cirúrgicos. Resultados: 60,2% dos pacientes participantes eram do sexo masculino e 39,8% do sexo feminino, distribuídos de forma bimodal. A média de idade foi 45,4 anos. Fraturas expostas corresponderam a 92,1% das fraturas e 7,9% representaram as expostas. Pacientes politraumatizados representaram 62,6%. O tempo médio de internação foi 8,09 dias. Conclusão: Apesar do padrão de fraturas mostrar semelhanças com outros estudos, o padrão apresentado pode não traduzir, de forma homogênea, o padrão obtido em outras metrópoles e grandes centros.Descritores: Fraturas do Rádio; Traumatismos do Punho; Epidemiologia; Hospitais Especializados.ReferênciasBruce KK, Merenstein DJ, Narvaez MV, Neufeld SK, Paulus MJ, Tan TP et al. Lack of Agreement on Distal Radius Fracture Treatment. J Am Board Fam Med. 2016;29(2):218-25.MacIntyre NJ, Dewan N. Epidemiology of distal radius fractures and factors predicting risk and prognosis. J Hand Ther. 2016;29(2):136-45.Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006;37(8):691-97.Nellans KW, Kowalski E, Chung KC. The epidemiology of distal radius fractures. Hand Clin. 2012;28(2):113-25. Flinkkilä T, Sirniö K, Hippi M, Hartonen S, Ruuhela R, Ohtonen P et al. Epidemiology and seasonal variation of distal radius fractures in Oulu, Finland. Osteoporos Int. 2011;22(8):2307-312.Lindau TR, Aspenberg P, Arner M, Redlundh-Johnell I, Hagberg L. Fractures of the distal forearm in young adults. An epidemiologic description of 341 patients. Acta Orthop Scand. 1999;70(2):124-28.Diamantopoulos AP, Rohde G, Johnsrud I, Skoie IM, Hochberg M, Haugeberg G. The epidemiology of low- and high-energy distal radius fracture in middle-aged and elderly men and women in Southern Norway. PLoS One. 2012;7(8):e43367.Wilcke MK, Hammarberg H, Adolphson PY. Epidemiology and changed surgical treatment methods for fractures of the distal radius: a registry analysis of 42,583 patients in Stockholm County, Sweden, 2004–2010. Acta Orthop. 2013;84(3):292-96.Sigurdardottir K, Halldorsson S, Robertsson J. Epidemiology and treatment of distal radius fractures in Reykjavik, Iceland, in 2004. Comparison with an Icelandic study from 1985. Acta Orthop. 2011;82(4):494-98.Solgaard S, Petersen VS. Epidemiology of distal radius fractures. Acta Orthop Scand. 1985;56(5):391-93.Brogren E, Petranek M, Atroshi I. Incidence and characteristics of distal radius fractures in a southern Swedish region. BMC Musculoskelet Disord. 2007;8:48. Tsai CH, Muo CH, Fong YC, et al. A population-based study on trend in incidence of distal radial fractures in adults in Taiwan in 2000-2007. Osteoporos Int. 2011;22(11):2809-815.Koo OT, Tan DM, Chong AK. Distal radius fractures: an epidemiological review. Orthop Surg. 2013;5(3):209-13. Dóczi J, Renner A. Epidemiology of distal radius fractures in Budapest. A retrospective study of 2,241 cases in 1989. Acta Orthop Scand. 1994;65(4):432-33.Chen NC, Jupiter JB. Management of distal radial fractures. J Bone Joint Surg Am. 2007;89(9):2051-62.Pagano M, Gauvreau K. Princípios de Bioestatística. 2. ed. São Paulo: Pioneira Thompson Learning; 2004.                                  Court-Brown CM. Epidemiologia das fraturas e luxações. In: Court-Brown CM et al. (ed.); Fraturas em adultos de Rockwood Green. 8. ed. Barueri, SP: Manole; 2016.Fanuele J, Koval KJ, Lurie J, Zhou W, Tosteson A, Ring D. Distal radial fracture treatment: what you get may depend on your age and address. J Bone Joint Surg Am. 2009;91(6):1313-19.Jupiter JB, Marent-Huber M; LCP Study Group. Operative management of distal radial fractures with 2.4-millimeter locking plates: a multicenter prospective case series. Surgical technique. J Bone Joint Surg Am. 2010;92(Suppl 1 Pt 1):96-106.

Radiographic Outcome of Unstable Distal Radial Fracture Treated by Closed Reduction and Pin in Plaster

2009 ◽  
Vol 2 ◽  
pp. CMTIM.S1929
Author(s):  
Ebrahim Ghaiem Hasankhani ◽  
Mohamad Taghi Pivandi ◽  
Ali Birjandi Nejad
Keyword(s):  
Distal Radius ◽  
Closed Reduction ◽  
Low Cost ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Radiographic Outcome ◽  
Satisfactory Outcome ◽  
Appropriate Treatment ◽  
Type C ◽  
Fracture Of Distal Radius

Background There is controversy about the appropriate treatment for severely displaced and unstable comminuted fracture of distal radius (type C of AO or OTA classification). Recently, there has been an increase in the number of predilection for surgical management of this fracture. Aim To determine the radiographic outcome in type C fractures of the distal radius treated with closed reduction and pin in plaster. Materials and Methods Eighty consecutive patients 60 male and 20 female, average age 40 years (22–60 years), with type C fractures of the distal radius seen between February 2001 and July 2003 in Shahid Kamiab Hospital of Mashad University, were treated by closed reduction and pin in plaster, followed up by anteroposterior and lateral radiographs to evaluate radial height, inclination and volar tilt. Results There was significant improvement in the measurements of radial height, inclination and volar tilt after closed reduction and pin in plaster, and at the time the pins and plaster were removed. (P = 0.00). Conclusion Closed reduction and pin in plaster is an effective, simple and low cost method in type C fractures of distal radius with satisfactory outcome.

Validity and Responsiveness of the Patient Evaluation Measure as an Outcome Measure for Carpal Tunnel Syndrome

2005 ◽  
Vol 30 (4) ◽  
pp. 350-354 ◽  
Author(s):  
J. L. HOBBY ◽  
C. WATTS ◽  
D. ELLIOT
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Outcome Measure ◽  
Carpal Tunnel Release ◽  
Hand Function ◽  
Objective Measures ◽  
Dash Score ◽  
Patient Evaluation ◽  
Tunnel Syndrome ◽  
Evaluation Measure

The aim of this study was to assess the validity of the Patient Evaluation Measure questionnaire (PEM) as an outcome measure in carpal tunnel syndrome. The PEM was compared to the DASH questionnaire and to objective measurements of hand function. We also compared its responsiveness to changes following carpal tunnel release with that of the DASH score. Twenty-four patients completed the PEM and DASH questionnaires before and 3 months after open carpal tunnel release. Grip strength, static two-point discrimination and the nine-hole peg test were measured. There was a significant correlation between individual items of the PEM and the objective measures. There was also strong correlation between PEM and DASH scores. The PEM showed a greater responsiveness to change (effect size 0.97) than the DASH score (effect size 0.49). The PEM correlates well with objective measures of hand function and the DASH score when used in carpal tunnel syndrome. It is more responsive to change than the DASH score. It is very simple to complete and score and is an appropriate and practical outcome measure in carpal tunnel syndrome.

scholarly journals Treatment of Distal Radial Fracture Fixation Using Volar Rim Distal Radius Plate:A Prospective Study

2021 ◽  
Author(s):  
Yang Liu ◽  
Muhammad Zeeshan Waheed ◽  
Dong Wang ◽  
Junlin Zhou
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Fixation Method ◽  
Distal Radial Fracture ◽  
Functional Evaluation ◽  
Radius Fractures ◽  
Distal Radial Fractures ◽  
Volar Approach ◽  
Radiological Parameters

Abstract Background: Unstable distal radial fractures are difficult to manage and so various treatment and management modalities have been introduced and described. The use of Volar Rim Distal Radius Plate is promoted for the management of such fractures. Objective: This study aimed to to investigate the clinical effect and functional output of Volar Rim Distal Radius Plate in the treatment of distal radius fractures. The purpose of this study is to evaluate the functional and radiological results of treating distal radial fractures with Volar Rim Distal Radius Plate Methods: In our study from March 2017 to may 2019, the clinical efficacy of Volar Rim Distal Radius Plate in the treatment of distal radius fractures was retrospectively analyzed. Case Description: During the study period, 23 patients met the inclusion criteria. According to the AO lassification of distal radius, there were 9 patients with Ao-23b3 and 14 patients with Ao-23c3. The follow-up ime was 13-17 months (average 14.6 months). All patients achieved bony union without internal fixation failure or racture displacement. The Garland and Werley functional system score was used to evaluate the limb function. Among them, 9 cases were evaluated as excellent, 13 cases as good, and 1 case as fair. Radiological parameters such as radial inclination, length, tilt, and ulnar variance were measured at six weeks and at the final follow-up. The functional evaluation was conducted by measuring the range of motion at the wrist joint as well as the grip strength. Gartland and Werley’s demerit scoring system was used to assess the final outcome. Literature Review: Results without nonoperative treatment of these fractures are not satisfactory and may often require a subsequent corrective osteotomy.Good and Satisfactory results Can be achieved with operative treatment of the fracture when the fragments are well reduced by using theVolar Rim Distal Radius Plate。 Results: There was a significant improvement in the functional indices from six weeks to the final follow-up, while the radiological parameters were maintained. According to Gartland and Werley, excellent results were reported in 65% cases, while good results were present in 35% cases. Clinical Relevance: Volar Rim Distal Radius Plate can give an adequate buttress to volar projection of the lunate facet and it do not interfere with wrist mobility. More-ever, the dorsal fragments can be fixed through the volar approach which may eliminate our need for a secondary posterior incision. Furthermore, patients would be informed for the potential problems and let them know about the need of the removal of the plate if unfortunately symptoms develop. Conclusions: The use of Volar Rim Distal Radius Plate is an effective fixation method to treat distal radius fractures which can provide more firm stability, meet the needs of early functional exercise and improve the prognosis with excellent to good functional outcomes with minimal complications.

scholarly journals Are the patient-rated wrist evaluation (PRWE) and the disabilities of the arm, shoulder and hand (DASH) questionnaire used in distal radial fractures truly valid and reliable?

2018 ◽  
Vol 7 (1) ◽  
pp. 36-45 ◽  
Author(s):  
Y. V. Kleinlugtenbelt ◽  
R. G. Krol ◽  
M. Bhandari ◽  
J. C. Goslings ◽  
R. W. Poolman ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Content Validity ◽  
Measurement Properties ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Distal Radial Fractures ◽  
Retest Reliability ◽  
Good For ◽  
Test Retest Reliability ◽  
Dash Questionnaire

Objectives The patient-rated wrist evaluation (PRWE) and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire are patient-reported outcome measures (PROMs) used for clinical and research purposes. Methodological high-quality clinimetric studies that determine the measurement properties of these PROMs when used in patients with a distal radial fracture are lacking. This study aimed to validate the PRWE and DASH in Dutch patients with a displaced distal radial fracture (DRF). Methods The intraclass correlation coefficient (ICC) was used for test-retest reliability, between PROMs completed twice with a two-week interval at six to eight months after DRF. Internal consistency was determined using Cronbach’s α for the dimensions found in the factor analysis. The measurement error was expressed by the smallest detectable change (SDC). A semi-structured interview was conducted between eight and 12 weeks after DRF to assess the content validity. Results A total of 119 patients (mean age 58 years (sd 15)), 74% female, completed PROMs at a mean time of six months (sd 1) post-fracture. One overall meaningful dimension was found for the PRWE and the DASH. Internal consistency was excellent for both PROMs (Cronbach’s α 0.96 (PRWE) and 0.97 (DASH)). Test-retest reliability was good for the PRWE (ICC 0.87) and excellent for the DASH (ICC 0.91). The SDC was 20 for the PRWE and 14 for the DASH. No floor or ceiling effects were found. The content validity was good for both questionnaires. Conclusion The PRWE and DASH are valid and reliable PROMs in assessing function and disability in Dutch patients with a displaced DRF. However, due to the high SDC, the PRWE and DASH are less useful for individual patients with a distal radial fracture in clinical practice. Cite this article: Y. V. Kleinlugtenbelt, R. G. Krol, M. Bhandari, J. C. Goslings, R. W. Poolman, V. A. B. Scholtes. Are the patient-rated wrist evaluation (PRWE) and the disabilities of the arm, shoulder and hand (DASH) questionnaire used in distal radial fractures truly valid and reliable? Bone Joint Res 2018;7:36–45. DOI: 10.1302/2046-3758.71.BJR-2017-0081.R1.

scholarly journals PHYSIOTHERAPY REHABILITATION OF DISTAL RADIAL FRACTURE TO ENHANCE THE ACTIVITY OF DAILY LIVING

2021 ◽  
Vol 10 (4) ◽  
pp. 3343-3345
Author(s):  
Ragini Dadgal
Keyword(s):  
Patient Outcomes ◽  
Distal Radius ◽  
Daily Living ◽  
Wrist Joint ◽  
Functional Independence ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Provide Pain Relief ◽  
Positive Effect ◽  
Fracture Of Distal Radius

Fracture of distal radius is the commonest fracture present in the upper limb. In fact, it is most commonly treated by the doctor. An outstretched hand is the most common cause of distal radius or wrist fractures. The fracture of distal radius can also lead to nerve injury mostly median nerve. Physical Therapy plays important role which provides positive effect in treating post fracture cases. A case of 45 years female is presented in this report who had an fall over right wrist joint and diagnosed with distal radius fracture and operated conservatively results into pain over wrist joint, decrease in physical activities. Rehabilitation protocol is explained below in the report. We report that there were improvement in patient outcomes level increases in muscles strength, provide pain relief and improvement in patient functional Independence.

Association of scapholunate dissociation and two-part articular fractures of the distal radius

2019 ◽  
Vol 44 (5) ◽  
pp. 468-474 ◽  
Author(s):  
Grace T.W. Sun ◽  
Simon B.M. MacLean ◽  
Justin J. Alexander ◽  
Richard Woodman ◽  
Gregory I. Bain
Keyword(s):  
Distal Radius ◽  
Ct Scans ◽  
Distal Radial Fracture ◽  
Fracture Type ◽  
Radial Fracture ◽  
Scapholunate Dissociation ◽  
Distal Radial Fractures ◽  
Level Of Evidence ◽  
Articular Fracture ◽  
Articular Fractures

Scapholunate dissociation may occur in association with distal radial fractures and is easily missed at initial presentation. The aim of this study was to examine variances in the scapholunate distance with respect to subtypes of two-part partial articular distal radial fractures. Axial computed tomography (CT) scans of acute two-part intra-articular radial fractures were assessed retrospectively from 80 patients and compared to 20 controls. From each scan, two images were analysed to identify the scaphoid, lunate and articular fracture line in the distal radius for fracture type categorization. The images were overlaid on a standardized distal radius template and the scapholunate distance measured. Significant increase in the scapholunate distance was noted in fracture subtypes: radial styloid oblique; dorsal ulnar column; sagittal ulnar column; and volar coronal. We conclude that these findings support the need for a higher index of suspicion for scapholunate dissociation in these distal radial fracture subtypes. Level of evidence: III

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