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. 2023 Feb 10;4(2):87–95. doi: 10.1302/2633-1462.42.BJO-2022-0105.R1

Table II.

Core outcome set for hand fractures and joint injuries in adults.

Core outcome domain Descriptor
Fine hand use/dexterity Being able to do fine motor tasks or precise activities with the hand/wrist
e.g. writing, drawing, picking up coins from a table, using a key
Pain/discomfort during activity Discomfort or pain in the hand or wrist specifically during activities (NOT at rest)
e.g. ache, shooting pain, sharp pain, throbbing, discomfort/pain due to not being able to tolerate hot or cold sensation
Pain/discomfort during rest Discomfort or pain in the hand or wrist specifically during rest (i.e. with the hand/wrist not moving, so NOT during activities)
e.g. ache, shooting pain, sharp pain, throbbing, discomfort / pain due to not being able to tolerate hot or cold sensation
Return to usual work/job Being able to return to the work or job that one was doing prior to their hand/wrist injury (NOT including the financial impact of any lost income)
Self-hygiene/personal care Being able to do the usual tasks involved in maintaining one’s own hygiene and self-care
e.g. washing oneself, toileting, washing hands, washing the face, brushing teeth, shaving, looking after one’s hair, applying make-up
Range of motion How much movement one has through the joints of the hand or wrist, whether active (i.e. moving it with the muscles of the injured side) or passive (e.g. if someone else were to try to move it for the patient)
Includes stiffness in the joints or how much one can bend or straighten the thumb, fingers or wrist
Patient satisfaction with outcome/result Satisfaction with the overall result from the patient’s perspective (NOT with treatment or recovery process, but the end result only)