Functional recovery and outcome
Patient number | Time to notice initial motor movements (wk) | Time for sensory recovery to be seen (wk) | Initial deformity seen at 3 mon | Sensory recovery/static 2PD (final follow-up) | Range of movements | VAS score | Mayo Wrist score | Quick DASH score | Complications | ||||
Radial | Median | Ulnar | Median nerve | Ulnar nerve | Radial nerve | ||||||||
1 | Immediate/claw deformity hand | 8 | 9 | 9 | 10 | Immediate | Combined claw (median+ulnar) | S4 5 mm | Full | 0 | 85 | 2.3 | Raw areas over the sutures which healed by scar |
2 | Immediate/claw deformity hand | 8 | Immediate | 9 | Immediate | Immediate | Median claw and median nerve palsy | S4 6 mm | Full | 0 | 85 | 4.5 | Unstable scar |
3 | Immediate | 4 | 4 | 8 | 10 | Immediate | Nil | S4 5 mm | Full | 0 | 80 | 2.3 | Nil |
4 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 5 mm | Full | 0 | 85 | 4.5 | Superficial skin necrosis, settled with dressing alone |
5 | 12/claw deformity hand | 16 | 20 | 20 | 26 | 24 | Finger stiffness/combined claw | S3 9 mm | Stiff MCP and PIP joints | 4 | 40 | 18.2 | Stiff joints, osteomyelitis humerus/non-union supracondylar humerus |
6 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 6 mm | Full | 0 | 85 | 2.3 | Nil |
7 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 6 mm | Full | 0 | 85 | 4.5 | Nil |
8 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 5 mm | Full | 0 | 80 | 2.3 | Nil |
9 | Immediate | Immediate/ claw | Immediate/ claw | 2 | 2 | Immediate | Mild combined claw | S4 6 mm | Full | 0 | 85 | 4.5 | Nil |
10 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 5 mm | Full | 0 | 85 | 4.5 | Nil |
11 | Immediate | immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 5 mm | Full | 0 | 80 | 6.8 | Nil |
12 | Immediate | Immediate/claw | Immediate/claw | 2 | 2 | Immediate | Mild claw | S4 6 mm | Full | 1 | 80 | 4.5 | Nil |
13 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 5 mm | Full | 0 | 85 | 4.5 | Nil |
14 | 8 | 12 | 16 | 13 | 18 | 16 | Combined claw | S3 7 mm | Elbow stiff, stiff claw | 4 | 50 | 22.0 | Elbow stiffness |
15 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 5 mm | Full | 0 | 85 | 2.3 | Nil |
16 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 6 mm | Full | 0 | 85 | 4.5 | Nil |
17 | Immediate/claw deformity hand | 12 | 16 | 16 | 22 | Immediate | Combined claw | S4 8 mm | Full | 1 | 80 | 4.5 | Multiple small raw areas over edges/scars |
18 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 5 mm | Full | 0 | 85 | 4.5 | Nil |
19 | 16/claw deformity hand | 20 | 26 | 18 | 26 | 32 | Combined claw | S3 10 mm | Elbow stiff, MCP, PIP joint stiffness | 4 | 45 | 25 | Septic arthritis/multiple surgery |
20 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 5 mm | Full | 0 | 85 | 2.3 | Nil |
21 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 5 mm | Full | 0 | 85 | 4.5 | Nil |
22 | Immediate/claw deformity | 2/claw | 2/claw | 2 | 2 | Immediate | Mild claw | S4 6 mm | Full | 0 | 80 | 2.3 | Nil |
23 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 5 mm | Full | 0 | 85 | 2.3 | Nil |
24 | Immediate | Immediate | Immediate | Immediate | Immediate | Immediate | Nil | S4 6 mm | Full | 0 | 80 | 2.3 | Nil |
Mean values | 0.6 | 79 | 5.9 |
Medical Research Council scale.
S0 is the absence of sensibility; S1 is the recovery of deep cutaneous pain; S2 is the return of superficial cutaneous pain and some degree of tactile sensibility; S3 is the return of superficial cutaneous pain and tactile sensibility without over-response; and S4 is the complete recovery.
DASH, Disabilities of the Arm, Shoulder and Hand; MCP, metacarpophalangeal; 2PD, 2-point discrimination; PIP, proximal interphalangeal; VAS, Visual Analog Scale.