The Forearm Symptom Severity Score can be used to evaluate the severity of symptoms following a Colles' fracture. The authors are from Oulu University Hospital in Finland.
Parameters:
(1) pain during rest
(2) pain during exercise
(3) pain after exercise
(4) stiffness
(5) restriction in range of motion
(6) swelling
(7) numbness of fingers
(8) reduced grip power
(9) deformity of the wrist
|
Parameter |
Severity |
Points |
|
pain during rest |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
pain during exercise |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
pain after exercise |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
stiffness |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
restriction in range of motion |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
swelling |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
numbness of fingers |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
reduced grip power |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
deformity of the wrist |
none |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
forearm symptom severity score =
= SUM(points for all 9 parameters)
Interpretation:
• minimum score: 0
• maximum score: 27
• The higher the score the greater the symptom severity.
|
Severity Score |
Grade |
|
0 |
completely free of symptoms |
|
1 – 6 |
mild symptoms |
|
7 – 12 |
moderate symptoms |
|
13 – 18 |
severe symptoms |
|
19 - 27 |
very severe symptoms |
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general
