Vilkki S K
Department of Hand and Microsurgery, Tampere University Hospital, Tampere, Finland
J Hand Surg Eur Vol. 2014 Nov;39(9):977-83. doi: 10.1177/1753193413518709. Epub 2014 Jan 8.
A functional scoring method to grade the usefulness and quality of the upper limbs in congenital radial dysplasia is presented. It is based on the author's examinations of 44 arms with congenital deficiency of the radius. The hand (H), wrist (W) and proximal parts (P) of the extremity are each scored from 0 to 10 points for severity. The scoring is expressed similarly to the TNM (tumour, nodes, metastasis) tumour classification, for example as H5W4P2. The maximum severity index is 30 points. A severity grade of mild is between 1 and 8 points, moderate between 9 and 16 points and severe 17 points and over. In the author's series, the grades were mild in eight, moderate in 21 and severe in 15 cases. The functional severity grading should allow better comparison of radially deficient limbs and the results of treatment between groups of patients.
本文介绍了一种用于评估先天性桡骨发育不全上肢功能实用性和质量的评分方法。该方法基于作者对44例桡骨先天性缺如手臂的检查。肢体的手部（H）、腕部（W）和近端部分（P）根据严重程度分别从0到10分进行评分。评分的表示方式类似于TNM（肿瘤、淋巴结、转移）肿瘤分类，例如H5W4P2。最大严重程度指数为30分。轻度严重程度等级为1至8分，中度为9至16分，重度为及17分以上。在作者的系列研究中，8例为轻度，21例为中度，15例为重度。功能严重程度分级应能更好地比较桡骨缺损肢体以及不同患者组之间的治疗结果。
