Dhillon et al developed a score for evaluating outcome following repair of a fractured lateral humeral condyle in a child. Yang et al reported a modification of this score.
Parameters:
(1) pain
(2) range of motion in degrees
(3) carrying angle
|
Parameter |
Finding |
Points |
|
pain |
none |
3 |
|
|
occasional |
2 |
|
|
after heavy exertion (work or other activities) |
1 |
|
|
with normal activities or at rest |
0 |
|
range of motion |
0 to 140 degrees (normal) |
3 |
|
|
> 15 to 125 degrees |
2 |
|
|
>= 30 to 110 degrees |
1 |
|
|
< 30 to 110 degrees |
0 |
|
carrying angle |
valgus 7 - 10° (<= 3° from normal side) |
3 |
|
|
valgus 11 - 19° |
2 |
|
|
valgus 20 - 30° |
1 |
|
|
valgus > 30° |
0 |
|
|
varus < 0° |
2 |
|
|
varus 0 - 15° |
1 |
|
|
varus > 15° |
0 |
where:
• A varus < 0° may cover valgus 1 to 6°.
total score =
= SUM(points for all 3 parameters)
functional score =
= (points for pain) + (pain for range of motion)
Interpretation:
• minimum scores: 0
• maximum total score: 9
• maximum functional score: 6
|
Total Score |
Functional Score |
Outcome |
|
9 |
6 |
excellent |
|
7 or 8 |
5 |
good |
|
5 or 6 |
4 |
fair |
|
<= 4 |
<=3 |
poor |
Specialty: Surgery, orthopedic
ICD-10: ,
