Rowe et al used a system for evaluating the outcome of a patient who has had a fracture of the calcaneus bone. The score can be used to monitor the patient over time and can help identify a patient who may require more aggressive management. The authors are from the Massachusetts General Hospital.
Parameters:
(1) pain
(2) limp
(3) limitations on activities
(4) need for an ambulation appliance
(5) work ability
|
Parameter |
Finding |
Points |
|
pain |
none |
30 |
|
|
mild |
20 |
|
|
moderate |
10 |
|
|
severe |
0 |
|
limp |
none |
20 |
|
|
mild |
10 |
|
|
moderate |
0 |
|
|
severe |
0 |
|
limitations on activities |
none |
15 |
|
|
mild |
10 |
|
|
moderate |
10 |
|
|
complete |
0 |
|
need for ambulation appliance |
none |
15 |
|
|
insole in shoe |
10 |
|
|
brace |
5 |
|
|
cane |
0 |
|
|
crutches |
0 |
|
work ability |
heavy |
20 |
|
|
light |
10 |
|
|
none |
0 |
where:
• I would be tempted to modify the table having both a moderate limitation of activities and a moderate limp assigned 5 points. I might also add an intermediate work ability level between heavy and light worth 15 points.
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 100
• The higher the score the better the functional outcome.
|
Total Score |
Outcome |
|
90 - 100 |
excellent |
|
70 - 85 |
good |
|
40 - 65 |
fair |
|
< 40 |
poor |
where:
• The original table has overlap at 40 points between poor and fair outcome.
Specialty: Surgery, orthopedic
ICD-10: ,
