Criteria of Lidstrom for Outcome Following a Fracture of the Distal Radius

Lidstrom proposed criteria for the outcome of a patient after healing of a fracture of the distal radius.

Parameters:

(1) function of the wrist

(2) subjective symptoms

(3) deformity

(4) change in range of motion

(5) loss of strength

Parameter	Excellent	Good
function	normal (unimpaired)	normal (unimpaired)
subjective symptoms	none	negligible
deformity	none	none to minor (no subjective symptoms)
change in range of motion	loss of dorsiflexion or volar flexion < 15°	moderate loss (up to 20°, sometimes up to 25°)
loss of strength	none	slight to moderate

Parameter	Fair	Poor
function	activities requiring special strength or extreme movements affected; most preinjury activities possible	work capacity decreased or way of life affected
subjective	<intermittent pain>	continuous pain
deformity
change in range of motion	may be marked
loss of strength	moderate	considerable

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