{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T15:24:10Z","timestamp":1762788250983,"version":"build-2065373602"},"reference-count":28,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T00:00:00Z","timestamp":1762560000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Uniri Projects of Experienced Scientists 2023","award":["uniri-iskusni-biomed-23-41"],"award-info":[{"award-number":["uniri-iskusni-biomed-23-41"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Distal radius fractures are common upper extremity injuries requiring reliable outcome measures for accurate clinical assessment. This study aimed to validate the Croatian versions of the Disabilities of the Arm, Shoulder and Hand (DASH), Patient-Rated Wrist Evaluation (PRWE), and Mayo Wrist Score (MWS) in patients with distal radius fractures. Methods: DASH, PRWE, and MWS Croatian versions were evaluated in 128 patients using standardized translation, cultural adaptation, factor analysis, and internal consistency (Cronbach\u2019s \u03b1). Results: PRWE-Cro and DASH-Cro demonstrated excellent validity and internal consistency (\u03b1 &gt; 0.95). QuickDASH-Cro showed high reliability and is recommended as a practical alternative. MWS was validated for the first time, showing good validity and acceptable internal consistency (\u03b1 = 0.71). Conclusions: PRWE-Cro and DASH-Cro are validated, reliable instruments suitable for both clinical practice and research in Croatian-speaking populations while MWS can be used as a quick screening tool.<\/jats:p>","DOI":"10.3390\/jcm14227924","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T15:07:31Z","timestamp":1762787251000},"page":"7924","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validation of the Croatian Versions of DASH, PRWE and Mayo Wrist Score in Patients with Distal Radius Fractures"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2905-9962","authenticated-orcid":false,"given":"Borjan","family":"Josifovski","sequence":"first","affiliation":[{"name":"University Hospital for Orthopaedics and Traumatology Lovran, Marsala Tita Promenade 1, 51415 Lovran, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matej","family":"Pedisic","sequence":"additional","affiliation":[{"name":"University Hospital for Orthopaedics and Traumatology Lovran, Marsala Tita Promenade 1, 51415 Lovran, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8596-6175","authenticated-orcid":false,"given":"Mirela","family":"Vuckovic","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Faculty of Health Studies, University of Rijeka, Viktora Cara Emina 5, 51000 Rijeka, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2977-3686","authenticated-orcid":false,"given":"Ksenija","family":"Bazdaric","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Sciences, Faculty of Health Studies, University of Rijeka, Viktora Cara Emina 5, 51000 Rijeka, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zdravko","family":"Jotanovic","sequence":"additional","affiliation":[{"name":"University Hospital for Orthopaedics and Traumatology Lovran, Marsala Tita Promenade 1, 51415 Lovran, Croatia"},{"name":"Department of Orthopedics and Physical Medicine, Faculty of Medicine, University of Rijeka, Branchetta Brothers 20, 51000 Rijeka, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: A review","volume":"37","author":"Caesar","year":"2006","journal-title":"Injury"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Black, N. (2013). Patient reported outcome measures could help transform healthcare. BMJ, 346.","DOI":"10.1136\/bmj.f167"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1197\/j.jht.2006.04.001","article-title":"The Upper Limb Functional Index: Development and determination of reliability, validity, and responsiveness","volume":"19","author":"Gabel","year":"2006","journal-title":"J. Hand Ther."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.jpra.2024.12.005","article-title":"Comprehensive Assessment of Specific Patient-Reported Outcome Measures for Hand and Wrist Conditions in Adults: A Scoping Review","volume":"43","author":"Iskander","year":"2025","journal-title":"JPRAS Open"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"288","DOI":"10.26444\/aaem\/202885","article-title":"Assessment of post-traumatic arthritis and functional outcome in patients treated operatively and non-operatively for distal radius Fractures\u2014A 2-year cohort study","volume":"32","author":"Ille","year":"2025","journal-title":"Ann. Agric. Environ. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L","article-title":"Development of an upper extremity outcome measure: The DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG)","volume":"29","author":"Hudak","year":"1996","journal-title":"Am. J. Ind. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1177\/17531934241302227","article-title":"The availability of common patient-reported outcome measures in hand surgery across Europe","volume":"50","author":"Aman","year":"2025","journal-title":"J. Hand Surg. Eur. Vol."},{"key":"ref_8","first-page":"1038","article-title":"Development of the QuickDASH: Comparison of three item-reduction approaches","volume":"87","author":"Beaton","year":"2005","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"92.e1","DOI":"10.1016\/j.jhsa.2021.03.024","article-title":"Can Generic Outcome Questionnaires Replace QuickDASH in Monitoring Clinical Outcome Following Surgical Treatment of Distal Radius Fractures?","volume":"47","author":"Hammer","year":"2022","journal-title":"J. Hand Surg. Am."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/S0894-1130(96)80076-7","article-title":"Development of a scale for patient rating of wrist pain and disability","volume":"9","author":"MacDermid","year":"1996","journal-title":"J. Hand Ther."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1097\/00003086-198701000-00020","article-title":"Difficult wrist fractures. Perilunate fracture-dislocations of the wrist","volume":"214","author":"Cooney","year":"1987","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1177\/1558944715614855","article-title":"Patient-Reported Outcome Measures for Hand and Wrist Trauma: Is There Sufficient Evidence of Reliability, Validity, and Responsiveness?","volume":"11","author":"Dacombe","year":"2016","journal-title":"Hand"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"S80","DOI":"10.4103\/sja.SJA_203_17","article-title":"Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine","volume":"11","author":"Tsang","year":"2017","journal-title":"Saudi J. Anaesth."},{"key":"ref_14","unstructured":"Nunnally, J.C., and Bernstein, I.H. (1994). Psychometric Theory, McGraw-Hill. [3rd ed.]."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1213\/ANE.0000000000002864","article-title":"Correlation Coefficients: Appropriate Use and Interpretation","volume":"126","author":"Schober","year":"2018","journal-title":"Anesth. Analg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1302\/2046-3758.71.BJR-2017-0081.R1","article-title":"Are the patient-rated wrist evaluation (PRWE) and the disabilities of the arm, shoulder and hand (DASH) questionnaire used in distal radial fractures truly valid and reliable?","volume":"7","author":"Kleinlugtenbelt","year":"2018","journal-title":"Bone Jt. Res."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Wollstein, R., Wollstein, A., Voegelin, E., and Ewald, S. (2025). Challenges in measuring outcomes in the wrist. J. Wrist Surg.","DOI":"10.1055\/a-2644-3006"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1197\/j.jht.2008.03.002","article-title":"Reliability and validity of the German version of \u201cthe Patient-rated Wrist Evaluation (PRWE)\u201d as an outcome measure of wrist pain and disability in patients with acute distal radius fractures","volume":"21","author":"Hemelaers","year":"2008","journal-title":"J. Hand Ther."},{"key":"ref_19","first-page":"120","article-title":"Validity and reliability of the Turkish \u201cPatient-Rated Wrist Evaluation\u201d questionnaire","volume":"49","year":"2015","journal-title":"Acta Orthop. Traumatol. Turc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1055\/s-0037-1599127","article-title":"Patient-Rated Wrist Evaluation: Spanish Version and Evaluation of Its Psychometric Properties in Patients with Acute Distal Radius Fracture","volume":"6","author":"Alfie","year":"2017","journal-title":"J. Wrist Surg."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Bastard, C., Sandman, E., Balg, F., Patenaude, N., Chapleau, J., and Rouleau, D. (2024). Validity, reliability and responsiveness of the French translation of the Patient-Rated Wrist Evaluation Questionnaire (PRWE). Orthop. Traumatol. Surg. Res., 110.","DOI":"10.1016\/j.otsr.2023.103549"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Vucetic, M., Pavlovic, V., Milutinovic, S., Stojicic, M., Milic, N., Aleksandric, D., Miceta, L., Petrovic, B., Matejic, A., and Rajovic, N. (2024). Psychometric Properties of the Serbian Version of the Arm, Shoulder, and Hand Disability Self-Assessment Questionnaire: Criterion Validity, Construct Validity, and Internal Consistency. J. Clin. Med., 13.","DOI":"10.3390\/jcm13195903"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s41687-022-00536-w","article-title":"Structural and cross-cultural validity of the Afrikaans for the Western Cape Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire","volume":"7","author":"Buchanan","year":"2023","journal-title":"J. Patient Rep. Outcomes"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.jht.2013.01.003","article-title":"Evaluation of the Korean version of the patient-rated wrist evaluation","volume":"26","author":"Kim","year":"2013","journal-title":"J. Hand Ther."},{"key":"ref_25","first-page":"489","article-title":"Translation and validation of the Danish version of the Patient Rated Wrist Evaluation questionnaire","volume":"47","author":"Hansen","year":"2013","journal-title":"J. Plast. Surg. Hand Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"113S","DOI":"10.1177\/1558944716660555hn","article-title":"Patient Rated Wrist Evaluation: Spanish Version and Evaluation of Its Psychometric Properties","volume":"11","author":"Alfie","year":"2016","journal-title":"Hand"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1197\/j.jht.2003.10.003","article-title":"Responsiveness of the disability of the arm, shoulder, and hand (DASH) and patient-rated wrist\/hand evaluation (PRWHE) in evaluating change after hand therapy","volume":"17","author":"MacDermid","year":"2004","journal-title":"J. Hand Ther."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Mellstrand Navarro, C., Ponzer, S., T\u00f6rnkvist, H., Ahrengart, L., and Bergstr\u00f6m, G. (2011). Measuring outcome after wrist injury: Translation and validation of the Swedish version of the patient-rated wrist evaluation (PRWE-Swe). BMC Musculoskelet. Disord., 12.","DOI":"10.1186\/1471-2474-12-171"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/22\/7924\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T15:19:24Z","timestamp":1762787964000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/22\/7924"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,8]]},"references-count":28,"journal-issue":{"issue":"22","published-online":{"date-parts":[[2025,11]]}},"alternative-id":["jcm14227924"],"URL":"https:\/\/doi.org\/10.3390\/jcm14227924","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,8]]}}}