Klinika Chirurgii Ogólnej i Chirurgii Ręki, Pomorski Uniwersytet Medyczny w Szczecinie, Polska / Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Poland.
Ortop Traumatol Rehabil. 2024 Apr 30;26(2):1-10. doi: 10.5604/01.3001.0054.6544.
Distal radial fractures are common injuries, accounting for approximately 25% of fractures in the paediatric population and up to 18% of all fractures in the elderly age group. Assessment of treatment outcomes of these fractures includes objective measurements of wrist joint range of motion and grip strength as well as subjective parameters such as the intensity of perceived pain, hand function and quality of life. The recent years have ushered in a trend towards using several outcome measures for a more comprehensive evaluation of the results of the treatment. The objective of this study was to investigate whether the assessment of pain severity and grip strength is sufficiently accurate for correct assessment of the outcome of the treatment of distal radial fractures.
One hundred and two patients, 79 women (77%) and 23 men (23%), at a mean age of 54 years with distal radial fractures were treated operatively. Treatment outcomes were assessed at 3 and 6 months by measurements of intensity of pain (according to a numerical rating scale, NRS), grip strength (with a dynamometer) and hand function with the DASH questionnaire. The results of these measurements were compared in order to investigate the strength of the possible correlation between variables.
An analysis of the correlation between the variables of interest at 3 and 6 months' assessment showed statistically significant correlations (Spearman rank test, R=0,26-0,41; p<0,01). The NRS correlated negatively with grip strength (less pain - greater strength) and positively with DASH scores (less pain - better hand function). The correlation between grip strength and the DASH was the strongest (Spearman rank test R=0,61; p<0,001, showing that greater power of the hand indicated better function, whereas weaker grip indicated worse function.
桡骨远端骨折较为常见，约占儿童人群骨折的 25%，占老年人群骨折的 18%。评估这些骨折的治疗结果包括腕关节活动范围和握力的客观测量以及疼痛强度、手部功能和生活质量等主观参数。近年来，人们趋向于使用多种结果测量方法来更全面地评估治疗结果。本研究的目的是探讨评估疼痛严重程度和握力是否足以准确评估桡骨远端骨折治疗的结果。
对 102 例桡骨远端骨折患者（79 名女性[77%]和 23 名男性[23%]，平均年龄 54 岁）进行手术治疗。在 3 个月和 6 个月时通过疼痛强度（数字评分量表，NRS）、握力（测力计）和 DASH 问卷评估手部功能来评估治疗结果。比较这些测量结果，以探讨变量之间可能存在的相关性。
对 3 个月和 6 个月评估的相关变量进行分析，显示出统计学上显著的相关性（Spearman 秩检验，R=0.26-0.41；p<0.01）。NRS 与握力呈负相关（疼痛程度较轻-握力越强），与 DASH 评分呈正相关（疼痛程度较轻-手部功能越好）。握力与 DASH 的相关性最强（Spearman 秩检验 R=0.61；p<0.001），表明手部力量越大，功能越好，而握力越弱，功能越差。
