I. Subjective evaluation |
|
|
Excellent |
No pain, no disability, no limitation of motion |
0 |
Good |
Occasional pain, no disability, slight limitation of motion |
2 |
Fair |
Occasional pain, no particular disability if careful, some limitation of motion, feeling of weakness in wrist, activities slightly restricted |
4 |
Poor |
Pain, disability, limitation of motion, Activities markedly restricted |
6 |
II. Objective evaluation |
|
|
a. Residual deformity |
|
|
Ulnar variance |
0 ± 2 mm 1 |
1 |
Palmar tilt |
11 ± 10 degrees |
1 |
Radial tilt |
23 ± 10 degrees |
1 |
b. Range of movements |
|
|
Dorsiflexion |
<45 degree |
1 |
Palmar flexion |
<30 degree |
1 |
Ulnar flexion |
<15 degree |
1 |
Radial flexion |
<15 degree |
1 |
Supination |
<50 degree |
1 |
Pronation |
<50 degree |
1 |
c. Grip power |
|
|
Dominant |
<½ Power of the opposite hand |
1 |
|
<2/3 Power of the opposite hand |
2 |
Non-dominant |
<½ Power of the opposite hand |
1 |
|
<2/3 Power of the opposite hand |
2 |
d. Arthritic changes |
|
|
None |
|
0 |
Minimal |
Irregularity of articular surface sharpening of articular margin |
1 |
Moderate |
Narrowed joint space, osteophytes |
2 |
Severe |
Marked osteophytes, ankylosis |
3 |
e. Complications |
|
|
Nerve complication |
|
1-2 |
Stiff fingers |
|
1-2 |
Ruptures tendons |
|
1-2 |