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Article

Validation of the Croatian Versions of DASH, PRWE and Mayo Wrist Score in Patients with Distal Radius Fractures

1
University Hospital for Orthopaedics and Traumatology Lovran, Marsala Tita Promenade 1, 51415 Lovran, Croatia
2
Department of Physiotherapy, Faculty of Health Studies, University of Rijeka, Viktora Cara Emina 5, 51000 Rijeka, Croatia
3
Department of Basic Medical Sciences, Faculty of Health Studies, University of Rijeka, Viktora Cara Emina 5, 51000 Rijeka, Croatia
4
Department of Orthopedics and Physical Medicine, Faculty of Medicine, University of Rijeka, Branchetta Brothers 20, 51000 Rijeka, Croatia
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2025, 14(22), 7924; https://doi.org/10.3390/jcm14227924 (registering DOI)
Submission received: 17 October 2025 / Revised: 30 October 2025 / Accepted: 5 November 2025 / Published: 8 November 2025
(This article belongs to the Section Orthopedics)

Abstract

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’s α). Results: PRWE-Cro and DASH-Cro demonstrated excellent validity and internal consistency (α > 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 (α = 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.
Keywords: DASH; distal radius fractures; Croatian version; Mayo Wrist Score; PRWE; validation DASH; distal radius fractures; Croatian version; Mayo Wrist Score; PRWE; validation

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MDPI and ACS Style

Josifovski, B.; Pedisic, M.; Vuckovic, M.; Bazdaric, K.; Jotanovic, Z. Validation of the Croatian Versions of DASH, PRWE and Mayo Wrist Score in Patients with Distal Radius Fractures. J. Clin. Med. 2025, 14, 7924. https://doi.org/10.3390/jcm14227924

AMA Style

Josifovski B, Pedisic M, Vuckovic M, Bazdaric K, Jotanovic Z. Validation of the Croatian Versions of DASH, PRWE and Mayo Wrist Score in Patients with Distal Radius Fractures. Journal of Clinical Medicine. 2025; 14(22):7924. https://doi.org/10.3390/jcm14227924

Chicago/Turabian Style

Josifovski, Borjan, Matej Pedisic, Mirela Vuckovic, Ksenija Bazdaric, and Zdravko Jotanovic. 2025. "Validation of the Croatian Versions of DASH, PRWE and Mayo Wrist Score in Patients with Distal Radius Fractures" Journal of Clinical Medicine 14, no. 22: 7924. https://doi.org/10.3390/jcm14227924

APA Style

Josifovski, B., Pedisic, M., Vuckovic, M., Bazdaric, K., & Jotanovic, Z. (2025). Validation of the Croatian Versions of DASH, PRWE and Mayo Wrist Score in Patients with Distal Radius Fractures. Journal of Clinical Medicine, 14(22), 7924. https://doi.org/10.3390/jcm14227924

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