Modification of the Constant–Murley shoulder score—introduction of the individual relative Constant score

Fialka, Christian; Oberleitner, Gerhard; Stampfl, Paul; Brannath, Werner; Hexel, M; Vécsei, V.

doi:10.1016/j.injury.2004.12.023

Cited by 80 publications

(61 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…17,20 The Constant Score may be biased when used in a heterogeneous group, in particular given the high weighting for the strength component. 32,33 To correct this bias, the relative Constant Score to account for age is used. 34 In our study, the strength and Constant Score of the affected side were compared to those of the non-affected side.…”

Section: Discussionmentioning

confidence: 99%

Stabilisation for the Disrupted Acromioclavicular Joint Using a Braided Polyester Prosthetic Ligament

Wright

Osarumwense

Ismail

et al. 2015

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

Purpose. To report outcomes of 21 men who underwent stabilisation for the disrupted acromioclavicular joint (ACJ) using a braided polyester prosthetic ligament. Methods. 21 men aged 23 to 76 (mean, 43) years underwent stabilisation for the disrupted ACJ of Rockwood type 3 (n=12), type 4 (n=1), and type 5 (n=8) using a braided polyester prosthetic ligament. Results. The mean time from injury to surgery was 6.8 (range, 0-19) months. The mean follow-up duration was 30 (range, 7-67) months. The mean Constant Score was 86.8 (range, 62-100), and the mean individualised Constant Score was 88.5 (range, 68-100). The mean Oxford Shoulder Score was 43.1 (range, 28-48). The mean abduction power of the operated side was 82% (range, 31%-97%) that of the normal side. 20 patients were satisfied with the procedure. One patient was dissatisfied who developed scapulothoracic bursitis. One patient required arthroscopic subacromial decompression for impingement. One patient Stabilisation for the disrupted acromioclavicular joint using a braided polyester prosthetic ligament sustained a redislocation following a fall at 6 weeks and declined further surgery. Conclusion. The braided polyester prosthetic ligament achieved good outcome for patients undergoing stabilisation for the disrupted ACJ.

show abstract

Section: Discussionmentioning

confidence: 99%

Stabilisation for the Disrupted Acromioclavicular Joint Using a Braided Polyester Prosthetic Ligament

Wright

Osarumwense

Ismail

et al. 2015

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

show abstract

“…Higher scores indicate a better outcome. Multiple modifications were made after the development of the initial scoring system because of concerns regarding reliability, correlation with other shoulder scores, scoring methods that increase the risk for bias, and variability in objective testing measures [20][21][22] . The minimal clinically important difference is unknown.…”

Section: The Constant Shoulder Scorementioning

confidence: 99%

Upper Extremity-Specific Measures of Disability and Outcomes in Orthopaedic Surgery

Smith¹,

Calfee

Baumgarten

et al. 2012

The Journal of Bone and Joint Surgery-American Volume

244

141

View full text Add to dashboard Cite

“…This modification of the CMS has been previously used and validated to allow a relative strength component to be calculated using the other shoulder as a comparator assumed to be normal for that individual. 19 Separate to the items required for the FSS and CMS, participants were also required to complete an 'improvement scale' pertaining to overall change in the qualitative status of their shoulder after surgery ( Figure 2). Patients could indicate whether their shoulder was 'much better', 'better', 'same', 'worse' or 'much worse'.…”

Section: Methodsmentioning

confidence: 99%

The development and validation of a questionnaire for rotator cuff disorders: The Functional Shoulder Score

et al. 2015

View full text Add to dashboard Cite

Background: The purpose of the present study was to validate the Functional Shoulder Score (FSS), a new patientreported outcome score specifically designed to evaluate patients with rotator cuff disorders. Methods: One hundred and nineteen patients were assessed using two shoulder scoring systems [the FSS and the Constant-Murley Score (CMS)] at 3 weeks pre-and 6 months post-arthroscopic rotator cuff surgery. The reliability, validity, responsiveness and interpretability of the FSS were evaluated. Results: Reliability analysis (test-retest) showed an intraclass correlation coefficient value of 0.96 [95% confidence interval (CI) ¼ 0.92 to 0.98]. Internal consistency analysis revealed a Cronbach's alpha coefficient of 0.93. The Pearson correlation coefficient FSS-CMS was 0.782 pre-operatively and 0.737 postoperatively (p < 0.0005). There was a statistically significant increase in FSS scores postoperatively, an effect size of 3.06 and standardized response mean of 2.80. The value for minimal detectable change was AE8.38 scale points (based on a 90% CI) and the minimal clinically important difference for improvement was 24.7 AE 5.4 points. Conclusions: The FSS is a patient-reported outcome measure that can easily be incorporated into clinical practice, providing a quick, reliable, valid and practical measure for rotator cuff problems. The questionnaire is highly sensitive to clinical change.

show abstract

Modification of the Constant–Murley shoulder score—introduction of the individual relative Constant score

Cited by 80 publications

References 14 publications

Stabilisation for the Disrupted Acromioclavicular Joint Using a Braided Polyester Prosthetic Ligament

Stabilisation for the Disrupted Acromioclavicular Joint Using a Braided Polyester Prosthetic Ligament

Upper Extremity-Specific Measures of Disability and Outcomes in Orthopaedic Surgery

The development and validation of a questionnaire for rotator cuff disorders: The Functional Shoulder Score

Contact Info

Product

Resources

About