Three kind of scoring system for proximal humeral fractures in patients with postoperative functional review of evaluation: a multicenter study.
- Author:
Lu BAI
1
;
Tian-bing WANG
;
Pei-xun ZHANG
;
Jing WANG
;
Hai-lin XU
;
Feng XUE
;
Jian-hai CHEN
;
Yu DANG
;
Ming YANG
;
Jian XIONG
;
Zhong-guo FU
;
Dian-ying ZHANG
;
Hong-bo ZHANG
;
Gang WANG
;
Hui-liang SHEN
;
Guang-lin WANG
;
Xin-bao WU
;
Bao-guo JIANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Female; Humans; Male; Middle Aged; Postoperative Period; Retrospective Studies; Shoulder Fractures; physiopathology; surgery; Shoulder Joint; physiopathology; Trauma Severity Indices; Young Adult
- From: Chinese Journal of Surgery 2012;50(4):318-322
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the ASES, Constant and HSS score systems and their significance on postoperative function of the shoulder.
METHODSTotally 172 cases of proximal humeral fracture of five affiliated hospital from September 2004 to September 2008 were analyzed. All the functional outcome of the involved shoulder were evaluated by ASES, Constant, HSS score and patient self score. The correlations and agreement of three shoulder scales were analyzed with Pearson correlation test and Bland-Altman plot in different age groups and fracture types.
RESULTS(1) The Constant score were lower than other two scores in the same age group and fracture type (F = 13.62 and 4.80, P < 0.05). (2) The correlations between three shoulder scales: ASES and Constant (r = 0.754, P = 0.0003), ASES and HSS (r = 0.755, P = 0.0001), Constant and HSS (r = 0.858, P = 0.0002). The correlations between three shoulder scales and patient self evaluation: ASES (r = 0.602, P = 0.0002), Constant (r = 0.705, P = 0.0001), HSS (r = 0.663, P = 0.0037). The Bland-Altman plot shows three shoulder scales have good agreement. (3)The correlation between Constant score and patient self evaluation decreased in the elder group and severe fracture type.
CONCLUSIONSASES, Constant, HSS shoulder score systems are all fit to evaluate the functional outcome of the shoulder, they have good correlation and agreement. Constant score in recommended for its high correlation coefficient with patient self evaluation score. However, its age bias must be paid attention in clinical practice. ASES shoulder score can be used in remote follow-up.