TY - JOUR
T1 - Outcome after colles fracture
T2 - The relative responsiveness of three questionnaires and physical examination measures
AU - Amadio, P. C.
AU - Silverstein, M. D.
AU - Ilstrup, D. M.
AU - Schleck, C. D.
AU - Jensen, L. M.
N1 - Funding Information:
Colles fracture is a common and serious upper extremity injury, t-8 Colles fracture occurs frequently in elderly women, in whom it is often associated with osteoporosis and postural instability.5, 9ao Colles fracture is also common in younger populations, in whom it is often associated with high-energy injury mechanisms.2, 6 Colles fracture often leaves a permanent impairment. 1-3,6,8 From the Departmento f Orthopedics, Division of Area General Internal Medicine, and Section of Biostafistics, Mayo Clinic and Mayo Foundation, Rochester, MN. Supported in part by a grant from the American Society for Surgery of the Hand. Received for publication Sept. 7, 1994; acceptedi n revised form Feb. 2, 1996. No benefits in any form have been i:eceivedo r will be received from a commercial party related directly or indirectly to the subject of this article. Reprint requests: Peter C. Amadin, MD, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
PY - 1996
Y1 - 1996
N2 - Clinical evaluation of outcome after Colles fracture has not been standardized. To assess the relative responsiveness of various clinical and questionnaire measures for the assessment of outcome after Colles fracture, 21 patients were surveyed on the day fracture immobilization was discontinued and again 3 months after that date with the following measures: a short form general health survey (SF-36), the Arthritis Impact Measurement Scale (AIMS2), the Brigham and Women's Hospital carpal tunnel questionnaire, pinch strength, grip strength, pressure sensibility, range of motion, and dexterity. Significant changes, all in the direction of improved health status, occurred in the following scales or measures: AIMS2 mobility, hand and finger function, arm function, household tasks, 'arthritis' (fracture) pain, self-care, satisfaction, physical health, affect, and tension; Brigham function; SF-36 physical role and mental health; and grip, pinch, dexterity, and range of motion. The impairments that occur after Colles fracture are multidimensional and are only partially captured by traditional physical measures. Questionnaires such as the SF-36, AIMS2, and Brigham and Women's instruments provide a mechanism to capture the function and symptom dimensions objectively.
AB - Clinical evaluation of outcome after Colles fracture has not been standardized. To assess the relative responsiveness of various clinical and questionnaire measures for the assessment of outcome after Colles fracture, 21 patients were surveyed on the day fracture immobilization was discontinued and again 3 months after that date with the following measures: a short form general health survey (SF-36), the Arthritis Impact Measurement Scale (AIMS2), the Brigham and Women's Hospital carpal tunnel questionnaire, pinch strength, grip strength, pressure sensibility, range of motion, and dexterity. Significant changes, all in the direction of improved health status, occurred in the following scales or measures: AIMS2 mobility, hand and finger function, arm function, household tasks, 'arthritis' (fracture) pain, self-care, satisfaction, physical health, affect, and tension; Brigham function; SF-36 physical role and mental health; and grip, pinch, dexterity, and range of motion. The impairments that occur after Colles fracture are multidimensional and are only partially captured by traditional physical measures. Questionnaires such as the SF-36, AIMS2, and Brigham and Women's instruments provide a mechanism to capture the function and symptom dimensions objectively.
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U2 - 10.1016/S0363-5023(96)80192-4
DO - 10.1016/S0363-5023(96)80192-4
M3 - Article
C2 - 8891974
AN - SCOPUS:0029854091
SN - 0363-5023
VL - 21
SP - 781
EP - 787
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
IS - 5
ER -