Gartland and Werley Score: Difference between revisions
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Revision as of 12:54, 20 October 2020
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Top Contributors - Gabriele Dara, Shaimaa Eldib and Kim Jackson
Objective and intended Population[edit | edit source]
The Gartland & Werley Score is a point-based outcome measure used to evaluate hand and wrist function [1]. The scale, developed in 1951, was initially created for the evaluation of healed Colles fractures. The original scale is based on a "demerit" scoring system involving subjective and objective aspects related to wrist and hand function, residual deformities, range of motion and nerve complications. Two modified versions of the scale have been implemented. The first, included measures of pronation and strength [2]; the second author included evaluation of stiffness and reflexes[3].
Method of Use[edit | edit source]
The score is based on a list of items categorised into four domains, namely residual deformity, subjective evaluation, objective evaluation and complications. Each assessed item is evaluated based on a demerit point system. The total score of the four domains is then summed up to construct the final score of the whole test. A final total score of 21 or above refers to "poor" hand function following an "healed" Colles fracture.
The list of items with relative scores and cut-offs is presented below:
Reference[edit | edit source]
Evidence[edit | edit source]
Reliability[edit | edit source]
Validity[edit | edit source]
Responsiveness[edit | edit source]
Miscellaneous[edit | edit source]
Links[edit | edit source]
References[edit | edit source]
- ↑ Changulani M, Okonkwo U, Keswani T, Kalairajah Y. Outcome evaluation measures for wrist and hand–which one to choose?. International orthopaedics. 2008 Feb 1;32(1):1-6.
- ↑ Sarmiento A, Pratt GW, Berry NC, Sinclair WF. Colles' fractures. Functional bracing in supination. The Journal of bone and joint surgery. American volume. 1975 Apr;57(3):311-7.
- ↑ LUCAS GL, SACHTJEN KM. An analysis of hand function in patients with Colles' fracture treated by Rush rod fixation. Clinical Orthopaedics and Related Research®. 1981 Mar 1;155:172-9.
