The score of Buck-Gramcko and Lohmann can be used to evaluate the outcome of wrist fusion surgery.
Parameters:
(1) range of motion
(2) functional use
(3) pain during function
(4) grip strength
(5) subjective assessment
|
Parameter |
Finding |
Points |
|
range of motion |
normal or near normal |
3 |
|
|
any restriction in MP range motion at joints III and IV |
see below |
|
functional use |
full |
2 |
|
|
limited during certain activities |
1 |
|
|
limited ability to perform activities of daily living (ADL) |
0 |
|
pain during function |
none |
2 |
|
|
only with heavy work |
1 |
|
|
during all activities |
0 |
|
grip strength |
> 75% of normal |
2 |
|
|
50 to 75% |
1 |
|
|
< 50% |
0 |
|
subjective |
improved (positive) |
1 |
|
|
unchanged (neutral) |
0 |
|
|
worse (negative |
-2 |
where:
• There is no category for pain at rest.
• MP = metacarpophalangeal
|
Restriction in MP Motion |
Finding |
Points |
|
extension lag at all MP joints |
no |
0 |
|
|
yes |
-1 |
|
flexion deficit |
no |
0 |
|
|
yes |
-1 |
|
restricted pronation and/or supination |
no |
0 |
|
|
yes |
-1 |
subscore for restriction in MP joint range of motion =
= SUM(points for 3 measures)
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score the better the outcome.
|
Total Score |
Outcome |
|
9 or 10 |
excellent |
|
7 or 8 |
good |
|
5 or 6 |
satisfactory (fair) |
|
0 to 4 |
poor |
Specialty: Surgery, orthopedic
