Editing Distal radius fracture (section)

==Outcome==
[[World Health Organization]] (WHO) divides outcomes into three categories: impairment, disabilities, and handicaps. Impairment is the abnormal physical function, such as lack of forearm rotation. It is measured clinically. Disability is the lack of ability to perform physical daily activities. It is measured by Patient Reported Outome Measures (PROMs). Examples of scoring system based on clinical assessment are: Mayo Wrist Score (for perilunate fracture dislocation), Green and O’Brien Score (carpal dislocation and pain), and Gartland and Werley Score (evaluating distal radius fractures). These scores includes assessment of [[range of motion]], grip strength, ability to perform activities of daily living, and radiological picture. However, none of the three scoring system demonstrated good reliability.<ref name="Court-Brown 2015"/>

There are also two scoring systems for Patient Reported Outome Measures (PROMs): the Disabilities of Hand, Arm and Shoulder (DASH) Score and the Patient-Related Wrist Evaluation (PRWE) Score. These scoring systems measures the ability of a person to perform a task, pain score, presence of tingling and numbness, the effect on activities of daily living, and self-image. Both scoring systems show good reliability and validity.<ref name="Court-Brown 2015"/>

=== Age factor ===
In children, the outcome of distal radius fracture is usually very good with healing and return to normal function expected. Some residual deformity is common, but this often remodels as the child grows.{{citation needed|date=October 2020}}

In young patients, the injury requires greater force and results in more displacement, particularly to the articular surface.  Unless an accurate reduction of the joint surface is obtained, these patients are very likely to have long-term symptoms of pain, arthritis, and stiffness.{{citation needed|date=October 2020}}

In the elderly, distal radius fractures heal and may result in adequate function following nonoperative treatment. A large proportion of these fractures occur in elderly people who may have less requirement for strenuous use of their wrists. Some of these patients tolerate severe deformities and minor loss of wrist motion very well, even without reduction of the fracture. There is no difference in functional outcomes between operative and non-operative management in the elderly age group, despite better anatomical results in the operative group.<ref name="Court-Brown 2015"/>