The combined shoulder assessment: a convenient method for obtaining equivalent outcome scores

Torrance, Emma; Hallam, Linda; Walton, Michael; Monga, Puneet; Watts, Adam C.; Funk, Lennard

doi:10.1177/1758573217736748

Cited by 3 publications

(1 citation statement)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Posterior labral involvement is more frequent in collision athletes than non‐athletes [40]. It is more difficult to detect clinically as posterior instability generally presents with pain and clicking (subclinical) rather than true dislocation.…”

Section: Managementmentioning

confidence: 99%

Treatment of glenohumeral instability in rugby players

Funk

2016

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Rugby is a high-impact collision sport, with impact forces. Shoulder injuries are common and result in the longest time off sport for any joint injury in rugby. The most common injuries are to the glenohumeral joint with varying degrees of instability. The degree of instability can guide management. The three main types of instability presentations are: (1) frank dislocation, (2) subluxations and (3) subclinical instability with pain and clicking. Understanding the exact mechanism of injury can guide diagnosis with classical patterns of structural injuries. The standard clinical examination in a large, muscular athlete may be normal, so specific tests and techniques are needed to unearth signs of pathology. Taking these factors into consideration, along with the imaging, allows a treatment strategy. However, patient and sport factors need to be also considered, particularly the time of the season and stage of sporting career. Surgery to repair the structural damage should include all lesions found. In chronic, recurrent dislocations with major structural lesions, reconstruction procedures such as the Latarjet procedure yields better outcomes. Rehabilitation should be safe, goal-driven and athlete-specific. Return to sport is dependent on a number of factors, driven by the healing process, sport requirements and extrinsic pressures.Level of evidence V.

show abstract

Section: Managementmentioning

confidence: 99%

Treatment of glenohumeral instability in rugby players

Funk

2016

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

Efficacy of intrauterine autologous blood cell derivatives in enhancing endometrial thickness and IVF outcomes for women with recurrent implantation failure: a retrospective cohort study

Tiwari,

Poojari,

Mundkur

et al. 2024

J Assist Reprod Genet

View full text Add to dashboard Cite

Purpose The purpose of this study was to determine the effects of intrauterine infusion of autologous blood cell derivative (ABCD) on endometrial thickness and pregnancy outcomes in a group of patients who underwent IVF with recurrent implantation failure (RIF) and who had either a normal endometrium or thin endometrium. Methods This retrospective study included 63 patients who experienced RIF at the Department of Reproductive Medicine and Surgery, KMC, Manipal, between January 2021 and March 2024 and who received three doses of intrauterine ABCD infusion to prepare the endometrium for frozen embryo transfer (FET). Results We enrolled 63 RIF patients, 30 with a normal endometrium (NEM) and 33 with a thin endometrium (TEM). The endometrial thickness (EMT) significantly increased across all the groups. After 3 cycles of intrauterine ABCD infusion, the mean increases in EMT in the NEM and TEM groups were 0.77 mm and 1.36 mm, respectively, which were statistically significant. Among the 62 completed FET cycles, 40.3% were positive for beta-hCG. The clinical pregnancy rate was 33.8% (40% in the NEM group, 28.1% in the TEM group), and the live birth rate was 24.2% (30% in the NEM group, 18.8% in the TEM group). A total of 9.7% of pregnancies had spontaneous miscarriages. Moreover, the EMT did not differ between the pregnant and nonpregnant groups. Conclusion Intrauterine ABCD infusion improves the pregnancy outcomes of patients with RIF, regardless of the EMT. The results of this study revealed that endometrial receptivity improved significantly along with the EMT.

show abstract

Validation of DASH and QuickDASH for Outcome Assessment of Anatomic Total Shoulder Arthroplasty for Treatment of Advanced Glenohumeral Osteoarthritis

Covarrubias,

Agaisse,

Portnoff

et al. 2024

Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

Background: The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and its abbreviated version, QuickDASH, are commonly used patient-reported outcome measures (PROMs) for the assessment of an upper-extremity disability. Theoretically, they can be used to compare the treatment outcomes of different upper-extremity conditions. Despite increasingly widespread use for some shoulder conditions, these questionnaires have not been rigorously validated for use to assess the outcomes of patients undergoing anatomic total shoulder arthroplasty (aTSA). The objective of this study was to validate the DASH and QuickDASH scores for a longitudinal outcome assessment of patients undergoing aTSA to treat advanced glenohumeral osteoarthritis (GHOA). Methods: In this study, 450 patients with a median age of 70.3 years (interquartile range [IQR] width, 11.7 years) were included; 52.4% of the patients were female. The DASH and QuickDASH questionnaires, the American Shoulder and Elbow Surgeons (ASES) score, the Simple Shoulder Test (SST), and the EuroQol-5 Dimensions (EQ-5D) questionnaire were completed preoperatively and at follow-ups of 3 months, 6 to 12 months, and a minimum of 2 years by patients undergoing aTSA. The criterion validity, construct validity, reliability, and responsiveness of the DASH and QuickDASH were assessed. Results: The DASH and QuickDASH scores demonstrated moderate to very strong correlations with the ASES scores (ρ = −0.83 to −0.62), SST scores (ρ = −0.73 to −0.55), and EQ-5D scores (ρ = −0.72 to −0.57); minimal floor or ceiling effects; internal consistency (Cronbach alpha > 0.80); and large Cohen d and standardized response means (<1.6) at all time points. Very strong positive correlations were observed between the DASH and QuickDASH scores at all time points (ρ = 0.96 to 0.97). Conclusions: The DASH and QuickDASH scores, which are region-specific rather than shoulder-specific, are valid, reliable, and responsive PROMs for the evaluation of patients with advanced GHOA treated with aTSA. Therefore, the DASH and QuickDASH scores can be used to compare the outcomes of aTSA for the treatment of advanced GHOA with the outcomes of treatment of other upper-extremity disorders, potentially facilitating comparative cost-effectiveness and value analysis studies. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.

show abstract

The combined shoulder assessment: a convenient method for obtaining equivalent outcome scores

Cited by 3 publications

References 23 publications

Treatment of glenohumeral instability in rugby players

Treatment of glenohumeral instability in rugby players

Efficacy of intrauterine autologous blood cell derivatives in enhancing endometrial thickness and IVF outcomes for women with recurrent implantation failure: a retrospective cohort study

Validation of DASH and QuickDASH for Outcome Assessment of Anatomic Total Shoulder Arthroplasty for Treatment of Advanced Glenohumeral Osteoarthritis

Contact Info

Product

Resources

About