Table 3. Spaghetti wrist follow-up evaluation system[10].

	Tendon function	Opposition	Intrinsic	Deformities	Sensation	Grip strength
Excellent	Individual	When the tip of	When the patient	Major if there is	When two-point	At least 90%
	tendon function	the thumb moves	can do both	both claw and	discrimination is	of contralateral
	is evident with 85% to full range of motion or finger flexion to 1.0 cm or less from the distal palmar crease	freely over the three phalanges of the other four fingers	finger abduction and adduction with negative Froment sign	ape hand	less than 10 mm	hand
Good	70-84% total normal range of motion or 2.0 cm from the distal palmar crease	When the tip of the thumb touches only the tip of the other four fingers	When the patient can do both finger abduction and adduction with positive Froment sign		When two-point discrimination is 10-20 mm	75-90% of contralateral hand
Fair	59% total normal range of motion		When the patient can do either finger abduction or adduction with positive Froment sign	Minor if there is either claw or ape hand	When two-point discrimination is more than 20 mm with light touch and pinprick sensation	50-75% of contralateral hand
Poor	Fixed contractures or adhesions	When the tip of the thumb cannot reach the tip of the other four fingers	When the patient cannot do finger abduction or adduction with positive Froment sign		When there are tropic changes or skin ulceration	<50% of contralateral hand