Residual deformity (0–3 points) |
|
Prominent ulnar styloid |
1 |
Palmar tilt deformity |
2 |
Radial deviation deformity |
2 or 3 |
Subjective evaluation (0–6 points) |
|
Excellent: no pain, disability, or limitation of motion |
0 |
Good: occasional pain, some limitation of motion, and weakness of wrist |
2 |
Fair: pain, limitation of motion |
4 |
Poor: pain, activities markedly restricted |
6 |
Objective evaluation (0–5 points) |
|
Loss of extension (<45°) |
5 |
Loss of ulnar deviation (<15°) |
3 |
Loss of supination (<50°) |
2 |
Loss of flexion (<30°) |
1 |
Loss of radial deviation (<15°) |
1 |
Loss of circumduction |
1 |
Pain in distal radioulnar joint |
1 |
Grip strength: 60% or less than on the opposite side |
1 |
Loss of pronation |
2 |
Complications (0–5 points) |
|
Arthritic change |
|
Minimum |
1 |
Minimum with pain |
3 |
Moderate |
2 |
Moderate with pain |
4 |
Severe |
3 |
Severe with pain |
5 |
Nerve complications (median nerve) |
1 or 3 |
Poor finger function due to cast |
1 or 2 |
Final results |
Excellent |
0–2 |
Good |
3–8 |
Fair |
9–20 |
Poor |
≥21 |