Score nach Gartland and Werley

Anwendung

Radiusfraktur
Anmerkung
Score vergleicht Hand nicht mit Gegenseite

Residual deformity Prominent ulnar styloid 1
 Residual dorsal tilt 2
 Radial deviation of hand 3-3
Subjective evaluation  
 Excellent: No pain, disability, or limitation of motion0
 Good: Occasional pain, slight limitation of motion, no disability2
 Fair: Occasional pain, some limitation of motion, feeling of weakness in wrist, no particular disability if careful, activities slightly restricted
4
 Poor: Pain, limitation of motion, disability, activities more or less markedly
restricted.
6
Objective evaluation [1]Loss of dorsiflexion 5
 Loss of ulnar deviation3
 Loss of supination 2
 Loss of palmar flexion 1
 Loss of radial deviation 1
 Loss of circumduction1
 Pain in distal radio-ulnar joint 1
Complications   
 Arthritis change  
 Minimal 1
 Minimal with pain 3
 Moderate 2
 Moderate with pain 4
 Severe
3
 Severe with pain 5
   
 Nerve complications (median) 1-3
 Poor finger function due to cast 1-3
   
Result0-2excellent
 3-8good
 9-20fair
 >20poor
   
 
[1] The objective evaluation is based upon the following ranges of motion as being the minimum for normal function: dorsiflexion 45°; palmar flexion 30°; radial deviation 15°; ulnar deviation 15°; pronation 50°; supination 50°