AIM: To study whether health utility scores can be derived from shoulder-specific scores.METHODS: Authors investigated two questions:(1) do the American Shoulder and Elbow Surgeons(ASES) score and the Constant score c...AIM: To study whether health utility scores can be derived from shoulder-specific scores.METHODS: Authors investigated two questions:(1) do the American Shoulder and Elbow Surgeons(ASES) score and the Constant score correlate with the EuroQo L(EQ-5D), a measure of health utility?(2) can the ASES and Constant scores be obtained from a complete study sample without bias? Thirty subjects with various shoulder diagnoses completed ASES, Constant, and EQ-5D instruments. Pearson correlations were calculated to assess the associations between EQ-5D score and ASES and Constant scores.RESULTS: The correlation between EQ-5D score and ASES score was 0.60(P < 0.001); it was 0.54 for EQ-5D and Constant scores(P < 0.003). A multiple regression model containing ASES score, Constant score, age, and gender failed to adequately predict EQ-5D. Moreover, 25% of patients meeting the inclusion criteria did not complete the ASES questionnaire because they did not feel that specific questions, such as "do usual sport-list" and "throw ball overhand," applied to them.CONCLUSION: Authors' results do not support the use of the ASES and Constant scores in predicting EuroQ ol health utility values. However, the Constant score was more suitable for this patient population because all patients were able to complete it.展开更多
Objectives: “Patient-reported outcome measures” has been used extensively, and it has shown the diseases’ impact on patient quality of life and has enabled the clinician to evaluate the clinical care efficacy. In t...Objectives: “Patient-reported outcome measures” has been used extensively, and it has shown the diseases’ impact on patient quality of life and has enabled the clinician to evaluate the clinical care efficacy. In the literature, there are more than 34 shoulder function assessment scoring instruments;the Modified Constant Murley Score (M-CMS) is one of the most popular scores. Although, the M-CMS had been translated and culturally adapted to Danish, Brazilian and Turkish versions, there is no Arabic version found in the literature. We aim to translate and culturally adapt M-CMS into the Arabic language. Method: The M-CMS was translated using previously published guidelines. The translation and cultural adaptation were done in five stages, initial translation by two bilingual translators then a synthesis of the translations after that, back translation by two native English speakers. Then an expert committee meeting approved the pre-final Arabic version. Finally, a pilot test was conducted on 41 patients to ensure its validity. Results: The M-CMS was successfully translated from the original English version to the Arabic version;no difficulties in the translation process were faced. Conclusion: A validated Arabic version of the M-CMS was produced and ready to be used for functional assessment of different shoulder pathologies in Arabic-speaking countries. Future study is needed for translation and cultural adaptation of the English standardized test protocol to assure the reproducibility of the Arabic version of the M-CMS.展开更多
目的探讨采用PHILOS锁定钢板治疗肱骨近端粉碎性骨折的临床疗效。方法收集2010年1月至2012年6月应用PHILOS锁定钢板治疗16例肱骨近端骨折患者，通过影像学资料、Constant-Murley评分（Constant-Murley score，CMS）及美国肩肘外科医师（...目的探讨采用PHILOS锁定钢板治疗肱骨近端粉碎性骨折的临床疗效。方法收集2010年1月至2012年6月应用PHILOS锁定钢板治疗16例肱骨近端骨折患者，通过影像学资料、Constant-Murley评分（Constant-Murley score，CMS）及美国肩肘外科医师（ American shoulder and elbow surgeons, ASES） 评分对患者骨折愈合情况、肩关节功能及并发症等进行评估。结果16例患者均获随访，平均随访时间17（6～25）个月。16例（100％）患者获得骨性愈合，14例患者基本获得解剖复位（87．5％），1例（6．2％）患者术后肩关节轻度疼痛，1例（6．2％）患者术后肩关节功能严重障碍。所有病例无钢板螺钉断裂、肱骨头缺血性坏死发生；平均ASES评分为80．5（40～96）分，平均Constant评分为72．4（32-93）分；其中患肢肩关节功能优12例（75．0％）、良3例（18．8％）、差1例（6．2％）。结论采用PHILOS锁定钢板治疗肱骨近端粉碎型骨折，尤其对老年性骨质疏松患者，不仅可提供稳定的骨折固定，而且能进行早期功能锻炼，从而取得较好的疗效。展开更多
目的:探讨丁苏热桂外敷剂治疗肩锁关节炎(acromioclavicular joint ostesarthritis,ACJOA)的临床疗效。方法:选取2018年1月-2019年12月本院收治的60例ACJOA患者。采用随机数字表法将就诊患者分为对照组与观察组,各30例。对照组采用口服...目的:探讨丁苏热桂外敷剂治疗肩锁关节炎(acromioclavicular joint ostesarthritis,ACJOA)的临床疗效。方法:选取2018年1月-2019年12月本院收治的60例ACJOA患者。采用随机数字表法将就诊患者分为对照组与观察组,各30例。对照组采用口服塞来昔布胶囊治疗,观察组采用丁苏热桂外敷剂治疗。治疗2周后,观察两组的临床疗效,比较两组治疗前后视觉模拟评分(Visual Analogue Scale,VAS)、美国肩肘外科协会评分(rating scale of the American shoulder and elbow surgeons,ASES)、Constant-Murley评分(CMS)的变化情况。结果:观察组的总有效率为96.67%,高于对照组的83.33%,差异有统计学意义(P<0.05)。治疗后,两组VAS评分均低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组的ASES、CMS评分均高于治疗前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论:丁苏热桂外敷剂能缓解肩锁关节炎患者的疼痛症状,增加肩关节活动度。展开更多
基金Supported by Department of Orthopaedic Surgery,University of Michigan
文摘AIM: To study whether health utility scores can be derived from shoulder-specific scores.METHODS: Authors investigated two questions:(1) do the American Shoulder and Elbow Surgeons(ASES) score and the Constant score correlate with the EuroQo L(EQ-5D), a measure of health utility?(2) can the ASES and Constant scores be obtained from a complete study sample without bias? Thirty subjects with various shoulder diagnoses completed ASES, Constant, and EQ-5D instruments. Pearson correlations were calculated to assess the associations between EQ-5D score and ASES and Constant scores.RESULTS: The correlation between EQ-5D score and ASES score was 0.60(P < 0.001); it was 0.54 for EQ-5D and Constant scores(P < 0.003). A multiple regression model containing ASES score, Constant score, age, and gender failed to adequately predict EQ-5D. Moreover, 25% of patients meeting the inclusion criteria did not complete the ASES questionnaire because they did not feel that specific questions, such as "do usual sport-list" and "throw ball overhand," applied to them.CONCLUSION: Authors' results do not support the use of the ASES and Constant scores in predicting EuroQ ol health utility values. However, the Constant score was more suitable for this patient population because all patients were able to complete it.
文摘Objectives: “Patient-reported outcome measures” has been used extensively, and it has shown the diseases’ impact on patient quality of life and has enabled the clinician to evaluate the clinical care efficacy. In the literature, there are more than 34 shoulder function assessment scoring instruments;the Modified Constant Murley Score (M-CMS) is one of the most popular scores. Although, the M-CMS had been translated and culturally adapted to Danish, Brazilian and Turkish versions, there is no Arabic version found in the literature. We aim to translate and culturally adapt M-CMS into the Arabic language. Method: The M-CMS was translated using previously published guidelines. The translation and cultural adaptation were done in five stages, initial translation by two bilingual translators then a synthesis of the translations after that, back translation by two native English speakers. Then an expert committee meeting approved the pre-final Arabic version. Finally, a pilot test was conducted on 41 patients to ensure its validity. Results: The M-CMS was successfully translated from the original English version to the Arabic version;no difficulties in the translation process were faced. Conclusion: A validated Arabic version of the M-CMS was produced and ready to be used for functional assessment of different shoulder pathologies in Arabic-speaking countries. Future study is needed for translation and cultural adaptation of the English standardized test protocol to assure the reproducibility of the Arabic version of the M-CMS.
文摘目的探讨采用PHILOS锁定钢板治疗肱骨近端粉碎性骨折的临床疗效。方法收集2010年1月至2012年6月应用PHILOS锁定钢板治疗16例肱骨近端骨折患者，通过影像学资料、Constant-Murley评分（Constant-Murley score，CMS）及美国肩肘外科医师（ American shoulder and elbow surgeons, ASES） 评分对患者骨折愈合情况、肩关节功能及并发症等进行评估。结果16例患者均获随访，平均随访时间17（6～25）个月。16例（100％）患者获得骨性愈合，14例患者基本获得解剖复位（87．5％），1例（6．2％）患者术后肩关节轻度疼痛，1例（6．2％）患者术后肩关节功能严重障碍。所有病例无钢板螺钉断裂、肱骨头缺血性坏死发生；平均ASES评分为80．5（40～96）分，平均Constant评分为72．4（32-93）分；其中患肢肩关节功能优12例（75．0％）、良3例（18．8％）、差1例（6．2％）。结论采用PHILOS锁定钢板治疗肱骨近端粉碎型骨折，尤其对老年性骨质疏松患者，不仅可提供稳定的骨折固定，而且能进行早期功能锻炼，从而取得较好的疗效。
文摘目的:探讨丁苏热桂外敷剂治疗肩锁关节炎(acromioclavicular joint ostesarthritis,ACJOA)的临床疗效。方法:选取2018年1月-2019年12月本院收治的60例ACJOA患者。采用随机数字表法将就诊患者分为对照组与观察组,各30例。对照组采用口服塞来昔布胶囊治疗,观察组采用丁苏热桂外敷剂治疗。治疗2周后,观察两组的临床疗效,比较两组治疗前后视觉模拟评分(Visual Analogue Scale,VAS)、美国肩肘外科协会评分(rating scale of the American shoulder and elbow surgeons,ASES)、Constant-Murley评分(CMS)的变化情况。结果:观察组的总有效率为96.67%,高于对照组的83.33%,差异有统计学意义(P<0.05)。治疗后,两组VAS评分均低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组的ASES、CMS评分均高于治疗前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论:丁苏热桂外敷剂能缓解肩锁关节炎患者的疼痛症状,增加肩关节活动度。
