Herbert and Fisher graded the outcome after healing of a fracture of the scaphoid at the wrist. The authors are from Sydney Hospital and the University of New South Wales in Australia.
Parameters:
(1) patient satisfaction
(2) symptoms
(3) restriction or loss on function
(4) radiographic appearance of union
(5) radiographic appearance of deformity
Satisfaction
Symptoms
Function
X-Ray
Grade
very happy
asymptomatic
normal and unrestricted use
sound union with no deformity
0
improved
minimal
minimal loss and unre-stricted use
apparent union with minimal deformity
1
unchanged
moderate
moderate loss and some restricted use
doubtful union with marked deformity
2
worse
severe
marked loss and restricted use
non-union or loosening of screw
3
where:
• One possible modification under X-ray appearance is to make Grade 2 moderate deformity and Grade 3 severe deformity.
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