Relation between the dash score and radiographic evaluation of the wrist in patients with wrist fracture

BMC Musculoskelet Disord. 2024 Mar 15;25(1):217. doi: 10.1186/s12891-024-07307-2.

Abstract

Traditionally, the assessment of distal radius fracture outcomes has been based on radiological measurements and self-evaluation scores. However, there is uncertainty regarding how accurately these measurements reflect the patient's perception of their outcome. In this study, we examined the correlation between radiological measurements and patient-perceived outcomes using the Disabilities of the Arm, Shoulder, and Hand outcome (DASH) score. 140 individuals who had recovered from a distal radius fracture. and had been treated with DVR, Kapandji, percutaneous pinning or closed reduction were included in the study. The retrospective assessment included 78 females and 62 males, with a mean DASH score of 3.54 points.Except for the ulnar variance, the study found little to no significant association between the DASH score and the final radiological measurement.In summary, the DASH score did not always indicate that a superior radiological result translated into a better patient-perceived outcome.

Keywords: DASH score; Distal radius fracture; Radial height; Radial inclination; Ulnar variance; Volar tilt; Wrist fracture.

MeSH terms

  • Bone Plates
  • Female
  • Fracture Fixation, Internal
  • Humans
  • Male
  • Radius Fractures* / diagnostic imaging
  • Radius Fractures* / surgery
  • Range of Motion, Articular
  • Retrospective Studies
  • Treatment Outcome
  • Wrist
  • Wrist Fractures*
  • Wrist Injuries* / diagnostic imaging
  • Wrist Injuries* / surgery
  • Wrist Joint