Minimal Clinically Important Differences for Oxford, Constant, and University of California Los Angeles Shoulder Scores After Reverse Shoulder Arthroplasty to Allow Interpretation of Patient-Reported Outcome Measures and Future Statistical Power Analyses

Zhou, Allan; Xu, Shaohua; Yew, Khye Soon Andy; Lie, Denny

doi:10.1016/j.arthro.2022.12.027

Cited by 12 publications

(3 citation statements)

References 42 publications

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“…These outcomes also exceed the MCID which have been reported with 1-2 years follow-up post-RSA. 19 , 56 , 61 The ROM outcomes are similarly positive with significantly greater improvements compared to the MCID in forward flexion (50° vs. 19.7°) and abduction (42° vs. 18.2°) ( P < .0001), while achieving the MCID for external rotation (8° vs. 7.3°) ( P = .148). 53 These results indicate that RSA offers a durable long-term benefit that is clinically relevant.…”

Section: Discussionmentioning

confidence: 84%

Midterm outcomes of primary reverse shoulder arthroplasty: a systematic review of studies with minimum 5-year follow-up

Doyle,

Downey,

Hurley

et al. 2024

JSES Reviews, Reports, and Techniques

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Section: Discussionmentioning

confidence: 84%

Midterm outcomes of primary reverse shoulder arthroplasty: a systematic review of studies with minimum 5-year follow-up

Doyle,

Downey,

Hurley

et al. 2024

JSES Reviews, Reports, and Techniques

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Section: Discussionmentioning

confidence: 99%

“…Forward elevation improved by a mean of 35°; abduction improved by a mean of 46°; external rotation improved by a mean of 22°. Constant score was reported in five studies and demonstrated a mean improvement of 26 points (MCID: 7.6-9.3)(46,47).Secondary stiffness following proximal humeral fracture remains a challenge for successful management and return to peak shoulder function. A careful history, clinical examination, and investigations are needed to identify contributing factors for addressing pain and stiffness.…”

mentioning

confidence: 99%

How to treat stiffness after proximal humeral fractures?

2023

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Shoulder stiffness is a frequent complication after proximal humeral fractures treated with or without surgery. Shoulder stiffness is associated with high rates of absence from work and a significant financial burden for the healthcare system. Secondary stiffness is characterized by additional extracapsular adhesions, including subacromial, subcoracoid, and subdeltoid spaces, usually derived from post-fracture or post-surgical extraarticular hematomas. Several secondary causes may coexist with capsular and extracapsular adhesions decreasing the shoulder motion, such as malunion, nonunion, metalwork failure, infection, and osteoarthritis, among others. Conservative treatment, usually prescribed for primary shoulder stiffness, has shown unfavorable results in secondary stiffness, and surgical intervention may be required. Surgical interventions need to be patient-specific. Usually, open or arthroscopic fibro-arthrolysis and subacromial release are performed, together with plate removal and biceps tenotomy/tenodesis. In severe osteoarthritis, shoulder replacement may be indicated. Ruling out infection is recommended in every case.

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Postoperative recreational sports and subjective shoulder function: a comprehensive analysis following intramedullary stabilization of displaced midshaft clavicular fractures

Langenhan,

Probst,

Bushuven

et al. 2024

Arch Orthop Trauma Surg

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Minimal Clinically Important Differences for Oxford, Constant, and University of California Los Angeles Shoulder Scores After Reverse Shoulder Arthroplasty to Allow Interpretation of Patient-Reported Outcome Measures and Future Statistical Power Analyses

Cited by 12 publications

References 42 publications

Midterm outcomes of primary reverse shoulder arthroplasty: a systematic review of studies with minimum 5-year follow-up

Midterm outcomes of primary reverse shoulder arthroplasty: a systematic review of studies with minimum 5-year follow-up

How to treat stiffness after proximal humeral fractures?

Postoperative recreational sports and subjective shoulder function: a comprehensive analysis following intramedullary stabilization of displaced midshaft clavicular fractures

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