Crosby and Fitzgibbons describe a functional scale for evaluating patients after calcaneal fracture. The authors are from the Creighton-Nebraska Foundation in Omaha.
Parameters:
(1) pain on activity
(2) pain at rest
(3) activity
(4) range of motion
(5) return to work
(6) change in shoe size
(7) swelling
|
Parameter |
Finding |
Points |
|
pain on activity |
no pain when walking or ignores pain |
15 |
|
|
mild pain when walking; takes aspirin |
10 |
|
|
moderate pain when walking; takes codeine |
5 |
|
|
severe pain when walking, with severe limitation |
0 |
|
pain at rest |
no pain at rest or ignores pain |
15 |
|
|
mild pain at rest |
10 |
|
|
moderate pain at rest |
5 |
|
|
severe pain at rest |
0 |
|
activity |
unlimited walking and standing |
20 |
|
|
walks 5 to 10 blocks; stands intermittently for > 30 minutes |
15 |
|
|
walks 1 to 5 blocks; stands 30 minutes or less |
10 |
|
|
walks less than 1 block; walks indoors only |
5 |
|
|
cannot walk |
0 |
|
range of motion |
25 to 30° (80 - 100%) |
20 |
|
|
20 to 25° (60 - 80%) |
15 |
|
|
15 to 20° (40 - 60%) |
10 |
|
|
10 to 15° (20 - 40%) |
5 |
|
|
0 to 10° (0 - 20%) |
0 |
|
return to work |
full time, same job |
20 |
|
|
full time, with restriction |
15 |
|
|
full time, with job change |
10 |
|
|
part time with restriction |
5 |
|
|
cannot work |
0 |
|
shoe size |
no change |
5 |
|
|
change (increase) |
0 |
|
swelling |
none |
5 |
|
|
mild |
3 |
|
|
moderate |
2 |
|
|
severe |
0 |
where:
• There is overlap in the ranges for the range of motion.
total functional score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: 100
• The higher the score the better the patient's functional status.
|
Total Score |
Outcome |
|
90 to 100 |
excellent |
|
80 to 89 |
good |
|
65 to 79 |
fair |
|
<= 64 |
poor |
Specialty: Surgery, orthopedic
ICD-10: ,
