Hawkins developed criteria for describing outcome following a fracture involving the neck of the talus.
Parameters:
(1) pain
(2) limp
(3) ankle range of motion (ROM)
(4) subtalar range of motion (ROM)
|
Parameter |
Finding |
Points |
|
pain |
none |
5 |
|
|
following activities |
3 |
|
|
continuous |
0 |
|
limp |
none |
3 |
|
|
present |
0 |
|
ankle range of motion |
full |
3 |
|
|
limited |
2 |
|
|
fused |
1 |
|
|
with fixed deformity |
0 |
|
subtalar range of motion |
full |
3 |
|
|
limited |
2 |
|
|
fused |
1 |
|
|
with fixed deformity |
0 |
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum total score: 0
• maximum total score: 15
• The higher the score the better the outcome.
|
Total Score |
Outcome |
|
13 to 15 |
excellent |
|
10 to 12 |
good |
|
7 to 9 |
fair |
|
0 to 6 |
poor |
Limitations:
• Some items like limp could be expanded to include mild and moderate categories.
• The increments for scoring the range of motion are uniform.
• It would be nice to be able to translate degrees of motion to the categories for range of motion.
Specialty: Surgery, orthopedic
ICD-10: ,
