Translation of the Mayo Elbow Performance Score (MEPS) into German (MEPS-G)

Schneider, M. M.; Nietschke, R.; Burkhart, Klaus J.; Hollinger, Boris; Marquardt, J.; Schöttker-Königer, Thomas; Morrison, Fiona; Zimmerer, Alexander; Papen, Anna

doi:10.1055/a-0974-3836

Cited by 8 publications

(6 citation statements)

References 13 publications

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“…All patients and radiological findings were examined by one independent researcher who was not involved in the surgical care. The evaluated patient-reported outcome measures included Mayo Elbow Performances Score (MEPS), Oxford Elbow Score (OES), Disabilities of Arm, Shoulder and Hand (DASH), pain on visual analogue scale (VAS) and postoperative satisfaction [ 3 – 5 ]. The values for the different scores used in this study are displayed in Table 2 .…”

Section: Methodsmentioning

confidence: 99%

Monteggia fractures: analysis of patient-reported outcome measurements in correlation with ulnar fracture localization

et al. 2022

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Background Monteggia fractures and Monteggia-like lesions result after severe trauma and have high complication rates. Preliminary biomechanical studies suggested a correlation between ulnar fracture localization and clinical result. Objectives Key objective was to evaluate whether the site of the ulnar fracture can be correlated to clinical outcome after open reduction and internal stabilization. Methods In a retrospective, monocentric study 35 patients who underwent surgical treatment after suffering a Monteggia injury or Monteggia-like lesion were included. Fractures were classified according to Bado and Jupiter, the site of the fracture location at the proximal ulna and regarding the potential accompanying ligamentary injury. In a follow-up examination validated patient-reported outcome measures and functional parameters were evaluated. Furthermore, treatment strategy and complications were analysed. Results Mean patient age was 51.9 years (± 18.0). 69% were females (n = 24). Follow-up took place after 50.5 months (± 22.1). Fractures were classified according to Bado (I:2, II:27, III:4, IV:2). Bado II-fractures were further classified according to Jupiter (A:7, B:16, C:3, D:1). Cases were divided into subgroups depending upon the distance of the ulnar fracture site in respect to its distal endpoint (A: < 7 cm and B: > 7 cm). Average overall MEPS was 84.1 (± 19.0). Oxford elbow score and DASH were 37.2 (± 10.5) and 20.4 (± 20.5). Average extension capability reached − 7° (± 7.5). Mean flexion was 134.8° (± 19.7). Average pain according to visual analogue scale was 1.6 (± 1.9). We found no differences between the subgroups regarding the PROMs. Subgroup A displayed a worse extension capability (p = 0.027) and patients were significantly older (p < 0.01). Comparing patients with and without fracture of the radial head, we observed no differences. Patients with an accompanying injury of the coronoid process displayed higher pain levels (p = 0.011), a worse functionality (p = 0.027) and overall lower scoring in PROM. Conclusion The presented results suggest that in Monteggia fractures and Monteggia-like lesions, the localization of the ulna fracture can give a hint for its postoperative outcome. However, we could not confirm the hypothesis of an increasing instability in ulnar fractures located further distally (high severity of the potential ligamentous injury). Intraarticular fractures or injuries with a close relation to the joint have a worse prognosis, especially if the coronoid process is injured. Trial registration Registration was done with ClinicalTrials.gov under NCT05325268.

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Section: Methodsmentioning

confidence: 99%

Monteggia fractures: analysis of patient-reported outcome measurements in correlation with ulnar fracture localization

et al. 2022

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“…A pilot testing of the pre-final MEPS-G with German-speaking subjects was performed on 57 participants, to confirm the comprehensibility and to search for possible problems with data collection or examination. Apart from minor adjustments, the MEPS was converted into the German version MEPS-G without difficulty [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

Reliability, validity and critical appraisal of the cross-cultural adapted German version of the Mayo Elbow Performance Score (MEPS-G)

et al. 2022

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Background The Mayo Elbow Performance Score (MEPS) is a rating system consisting of four dimensions to evaluate elbow performance. It is a common tool for assessment of elbow impairments worldwide. We determined the validity and reliability of its German version (MEPS-G) after cross-cultural adaptation. Methods Six investigators examined 57 patients with elbow pathologies. The MEPS-G was compared to validated elbow scores such as the German versions of DASH, the Oxford Elbow Score, pain level and subjective elbow performance on a VAS. Inter-rater reliability (IRR) and validity of the score and its dimensions were also reviewed. Verification was performed using the intraclass correlation coefficient (ICC), the prevalence and bias with adjusted Kappa (PABAK) and the Spearman correlation. Results The IRR of the MEPS-G score was moderate (ICC (2.1) = 0.65). The IRR of the four individual dimensions was moderate to high (KPABAK = 0.55 -0.81). Validity for the sum score (r = 0.52–0.65) and the dimensions pain (r = 0.53–0.62), range of motion (r = 0.7) and stability (r = − 0.61) was verified. The function subscale reached insufficient validity (r = 0.15–0.39). Conclusion The MEPS-G is not sufficiently valid, which is consistent with its English version. The patient-based dimensions were a weakness, demonstrating high risk of bias. There is no general recommendation for the utilization of the MEPS-G as outcome measurement for patients with elbow pathologies.

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“…Zur Objektivierung des Behandlungsverlaufs und Erfassung der Funktionseinschränkung können Fragebögen, etwa der Disabilities of Arm, Shoulder and Hand Questionnaire (bit.ly/Dash-Fragebogen) [ 20 ] oder die deutsche Version des Mayo Elbow Performance Score (MEPS–G) [ 21 ], verwendet werden. Unter Berücksichtigung der Internationalen Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) sollten Therapierende die strukturellen und funktionellen Defizite der individuellen Personen und der damit verbundenen Einschränkungen bei Alltags- bzw.…”

Section: Befundaufnahme Bestimmt Zielsetzungunclassified

Behandeln mit Köpfchen – Physiotherapie bei Radiusköpfchenfraktur

Tiemann¹

2022

physiopraxis

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Translation of the Mayo Elbow Performance Score (MEPS) into German (MEPS-G)

Cited by 8 publications

References 13 publications

Monteggia fractures: analysis of patient-reported outcome measurements in correlation with ulnar fracture localization

Monteggia fractures: analysis of patient-reported outcome measurements in correlation with ulnar fracture localization

Reliability, validity and critical appraisal of the cross-cultural adapted German version of the Mayo Elbow Performance Score (MEPS-G)

Behandeln mit Köpfchen – Physiotherapie bei Radiusköpfchenfraktur

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