A Retrospective Cohort Study of QuickDASH Scores for Three Hand Therapy Acute Upper Limb Conditions

Smith-Forbes, Enrique V.; Howell, Dana M.; Willoughby, Jason; Pitts, Donald G.; Uhl, Timothy L.

doi:10.1093/milmed/usx199

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…However, PRC 1 RCPI demonstrated more favorable Quick-DASH and PRWHE scores than PRC (17 vs. 26 and 14 vs. 22, respectively), as well as preoperative to postoperative improvement in the PRWHE score (251 vs. 238). Again, this must be investigated for clinically meaningful differences; prior reports for MCID of PRWHE range from 7.7 to 14 [20][21][22] and 14 to 19 for QuickDASH 23,24 . Thus, PRC and PRC 1 RCPI both appear to provide meaningful clinical improvement.…”

Section: Discussionmentioning

confidence: 99%

Proximal Row Carpectomy with and without Capitate Resurfacing

Hones,

Rakauskas,

Hao

et al. 2024

JBJS Reviews

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Background: In wrist salvage, proximal row carpectomy (PRC) has increasingly shown superior outcomes to four-corner fusion (4CF). Furthermore, PRC with resurfacing capitate pyrocarbon implants (PRC + RCPIs) provides a treatment option that may allow patients to avoid 4CF or wrist arthrodesis and help restore natural joint function and distribute loads evenly across the implant, though RCPI has yet to be evaluated on a large scale. We aimed to compare outcomes between PRC and PRC + RCPI for the treatment of scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrists. Methods: A systematic review and meta-analysis was performed per Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed/MEDLINE, Embase, Web of Science, and Cochrane were queried for articles on PRC and PRC + RCPI performed for SLAC and SNAC wrist with minimum 12-month follow-up. Primary outcomes included wrist range of motion (ROM), grip strength, and outcome scores including Disabilities of Arm, Shoulder, and Hand (DASH) and QuickDASH scores, Patient-Rated Wrist and Hand Evaluation (PRWHE), and visual analog scale pain scores. Results: Twenty-two studies reporting on 1,804 wrists were included (1,718 PRC alone, 86 PRC + RCPI). PRC + RCPI was associated with greater postoperative radial deviation, but poorer flexion. PRC + RCPI also had significantly lower postoperative QuickDASH (less disability and symptoms) and postoperative PRWHE (lower pain and disability) scores and an improvement in PRWHE compared with PRC. There was no significant difference in grip strength. Conclusion: PRC + RCPI demonstrated similar postoperative ROM to PRC alone. While PRC + RCPI was associated with more favorable outcome scores, further research is needed to confirm these findings and assess the incidence and profile of complications related to RCPIs. Level of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 99%

Proximal Row Carpectomy with and without Capitate Resurfacing

Hones,

Rakauskas,

Hao

et al. 2024

JBJS Reviews

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“…Outcome assessments included the quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire, pain Visual Analog Scale (VAS) and function VAS. The 11‐item QuickDASH as a shortened version of 30‐item DASH was used as the primary outcome measure in order to evaluate the patients physical function and symptoms [6, 24]. VAS for pain and VAS for function, those were collected pre‐ and post‐operatively as routinely were evaluated.…”

Section: Methodsmentioning

confidence: 99%

Arthroscopic lateral capsule resection is enough for the management of lateral epicondylitis

Paksoy

Laver

Tok

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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PurposeControversy exists with regards to the etiology and treatment of lateral epicondylitis and the role of the lateral capsule in this pathology. The aim of this study was to compare arthroscopic lateral capsule resection with or without extensor carpi radialis brevis (ECRB) tendon debridement for treatment of lateral epicondylitis. MethodsThis is a retrospective study of 38 patients who underwent arthroscopic surgery for LE with two different techniques: Eighteen patients were treated with arthroscopic lateral capsular resection (LCR) + ECRB debridement and 20 patients were treated with arthroscopic LCR alone, without ECRB debridement. Both groups were assessed with Quick Disabilities of the Arm, Shoulder and Hand (QDASH) score for function and Visual Analog Scale (VAS) score for pain. ResultsQuick DASH scores were 12 ± 5 and 13 ± 4 at Groups 1 and 2, respectively, without any statistically significant difference. VAS pain scores were 15 ± 2 for both groups. VAS function scores were 85 ± 22 and 86 ± 18 at Groups 1 and 2 respectively. Sick leave periods in terms of weeks were 7 ± 5 and 7 ± 4 at Groups 1 and 2, respectively. There was no statistically significant difference in outcome of the two groups compared in terms of VAS pain, function scores, failure (re‐operation) rates and sick leave period at the end of final follow‐up. ConclusionBoth arthroscopic LCR alone and Arthroscopic LCR with ECRB debridement for the management of refractory LE provide significant improvement in pain and function. Isolated Arthroscopic LCR could be a sufficient surgical treatment for refractory LE. Thus, ECRB debridement or release may not be necessary in every case. Level of evidenceIV.

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“…Furthermore, we excluded mild patients to clarify the characteristics of wrist torque in patients with LE. As previous studies reported quick disabilities of the arm, shoulder, and hand (QuickDASH) scores of 11-15 points at the end of conservative treatment for LE, 19,20 we set a cutoff score of QuickDASH for exclusion criteria of patients with mild LE as 11.…”

Section: Participantsmentioning

confidence: 99%

Pathophysiology of sex difference in refractoriness in lateral epicondylitis: Biomechanical study of wrist torque

Ikeda,

Yoshii,

Kohyama

et al. 2023

Journal Orthopaedic Research

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Eccentric contractions of the wrist extensors worsen lateral epicondylitis (LE), whose pathophysiology may involve sex differences in wrist torque. This study aimed to investigate sex differences in wrist torque in patients with LE. The wrist extension and flexion torques of 22 patients with LE (11 males and 11 females) were measured. Maximum muscle output over time was measured for 20 s, initial torque was defined as muscle strength, and the degree of eccentric contraction was quantified and defined as the eccentric contraction index (ECI). The affected/unaffected side ratio of the wrist extensor, extensor/flexor ratio of muscle strength, and affected/unaffected side difference of ECI between sexes were statistically analyzed. Furthermore, correlations between wrist extensor torque, ECI, and Visual Analog Scale of pain during the examination were evaluated. Females were found to display lower affected/unaffected side ratios of the wrist extensor and wrist extension/flexion ratios for the affected side, compared with males; however, no differences were found in the wrist extension/flexion ratios for the unaffected side in both sexes. Additionally, females presented with larger differences between the affected and unaffected sides in the ECI. Based on correlations between wrist torques, ECI, and pain, females tended to suppress muscle output to prevent pain from eccentric contraction of wrist extensors more than males, which would induce an imbalance in muscle strength of the wrist extensors and flexors. This imbalance may result in chronic eccentric contraction of the wrist extensors with gripping, exacerbating LE.

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A Retrospective Cohort Study of QuickDASH Scores for Three Hand Therapy Acute Upper Limb Conditions

Cited by 6 publications

References 11 publications

Proximal Row Carpectomy with and without Capitate Resurfacing

Proximal Row Carpectomy with and without Capitate Resurfacing

Arthroscopic lateral capsule resection is enough for the management of lateral epicondylitis

Pathophysiology of sex difference in refractoriness in lateral epicondylitis: Biomechanical study of wrist torque

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