Olerud and Molander developed a functional rating scale for patients who have had an ankle fracture. This can be used to monitor a patient over time and to evaluate the impact of different interventions. The authors are from Uppsala and Falum in Sweden.
Parameters:
(1) pain
(2) stiffness
(3) swelling
(4) stair-climbing
(5) running
(6) jumping
(7) squatting
(8) supports
(9) work and activities of daily living
Parameter |
Finding |
Points |
---|---|---|
pain |
none |
25 |
|
while walking on an uneven surface |
20 |
|
while walking on an even surface outdoors |
10 |
|
while walking indoors |
5 |
|
constant and severe |
0 |
stiffness |
none |
10 |
|
stiffness |
0 |
swelling |
none |
10 |
|
only in the evening |
5 |
|
constant |
0 |
stair climbing |
no problems |
10 |
|
impaired |
5 |
|
impossible |
0 |
running |
possible |
5 |
|
impossible |
0 |
jumping |
possible |
5 |
|
impossible |
0 |
squatting |
no problems |
5 |
|
impossible |
0 |
supports |
none |
10 |
|
taping, wrapping |
5 |
|
stick or crutch required |
0 |
work and activities of daily living |
same as before injury |
20 |
|
loss of tempo |
15 |
|
change to a simpler job or to part-time work |
10 |
|
severely impaired work capacity |
0 |
score =
= SUM(points for all 9 parameters)
Interpretation:
• minimum score: 0
• maximum score: 100
• The higher the score, the better the functional ability.
• Patients with osteoarthritis and dislocations tend to have a lower score than those without these findings.
Purpose: To evaluate a patient who has had an ankle fracture using the functional score of Olerud and Molander.
Specialty: Surgery, orthopedic
Objective: severity, prognosis, stage
ICD-10: S82,