Closed reduction of severely angulated Rockwood and Wilkins’ type C thumb Metacarpal Base fractures in children: case series

Table 1 Modified Mayo Score^a

Category	Points	Examination Findings
Pain	25	No pain
	20	Pain only with weather change
	15	Moderate pain on exertion
	15	Slight pain with activities of daily living
	5	Moderate pain with activities of daily living
	0	Pain at rest
Satisfaction	25	Very satisfied
	20	Moderately satisfied
	10	Unsatisfied but fit for work
	0	Unsatisfied and unfit for work
ROM ^b(IP, MCP, saddle joint)	25	100% of the uninjured thumb
	15	75–99% of the uninjured thumb
	10	50–74% of the uninjured thumb
	5	25–49% of the uninjured thumb
	0	0–24% of the uninjured thumb
Pulp-to-palm distance ^c	25	100% of the uninjured thumb
	15	75–99% of the uninjured thumb
	10	50–74% of the uninjured thumb
	5	25–49% of the uninjured thumb
	0	0–24% of the uninjured thumb
Power measurement ^d	25	100% of the uninjured thumb
	15	75–99% of the uninjured thumb
	10	50–74% of the uninjured thumb
	5	25–49% of the uninjured thumb
	0	0–24% of the uninjured thumb
Sensibility^e	25	Normal sensibility
	20	Diminished light touch
	15	Diminished protective sensation
	10	Loss of protective sensation
	5	Deep sensation of pressure
	0	Without sensation
Final score (points)	135–150	Excellent
	120–134	Good
	97–119	Fair
	< 97	Poor

^aReference: Parvizi D, Haas FM. Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University Hospital of Graz, Austria
^bRang of movement (sum of IP, MCP, and saddle joint)
^cDefined as the distance of the thumb pulp to the metacarpophalangeal furrow of the fifth digit in centimeter
^dSum of adduction and pinch grip
^eBy Semmes-Weinstein monofilaments
A score of 97 points or better was considered to be a “satisfactory result”

ISSN: 1471-2474