Outcome assessment of hemiarthroplasty of the shoulder: A 5-year follow-up with 4 evaluation tools

Abstract

BackgroundOutcome measurement of shoulder arthroplasty is not standardized. We compared 3 scores and 1 evaluation form.Patients and methods We report on 35 hemiarthroplasties of the shoulder (32 cementless). Mean age of the patients was 62 (29-87) years. After a mean follow-up of 6 years (range 2-18 years) patients were evaluated with the Neer score, the Constant-Murley score, the score of the University of California in Los Angeles (UCLA) and the Society of Shoulder and Elbow Surgeons Basic Shoulder Evaluation Form. We also performed radiographic evaluation and sonographic evaluation of the rotator cuff.Results Although pain relief and patient satisfaction were promising, the overall results of the respective score showed low values (Neer score 56/100 points, Constant-Murley score 43/100 points, and UCLA score 19/35 points on average).Interpretation We recommend choice of a score with a high impact of pain and patient satisfaction. Furthermore, ability to cope with activities of daily living should be of more importance than strength.

Pain relief due to physiotherapy doesn’t change the motor function of the shoulder

“…To estimate the pain situation and the raw functional conditions of the shoulder, the Constant-Murley shoulder assessment was used (Constant and Murley, 1987;Constant, 1991;Krepler et al, 2006). The score of the test judges a normal (more than 95 pt) or a deficit pain condition.…”

Upper Extremity-Specific Measures of Disability and Outcomes in Orthopaedic Surgery

“…It has been used in evaluating essentially all shoulder conditions [27][28][29][30][31] . It assesses five domains: (1) pain, (2) function, (3) forward flexion, (4) forward flexion strength, and (5) overall satisfaction.…”

Comparability of Patient-reported Outcome Measures and Clinical Assessment Tools for Shoulder Function in Patients with Proximal Humeral Fracture

“…Der NS ist ein häufig verwendeter Patientenfragebogen zur Beurteilung der Schulterfunktion bei gesunden, aber auch verletzten Patienten. Während das Verhältnis zwischen objektiven und subjektiven Komponenten dem des CS entspricht, besteht ein wesentlicher Unterschied darin, dass das röntgenologische Outcome mitbewertet wird 10 , 16 , 18 , 19 .…”

“…The number of these tests used in the literature for the assessment of shoulder function after PHFx is smaller. Most commonly used in the European region are (a) the Constant-Murley Score (CS), followed by (b) the Neer-Score (NS), c) the Oxford Shoulder Score (OSS), d) the University of California at Los Angeles Score (UCLA) and (e) the Disability of Arm, Shoulder and Hand Score (DASH) 8 , 9 , 10 , 11 , 12 , 13 .…”

“…The NS is a commonly used patient questionnaire for assessing shoulder function in healthy as well as injured patients. Whereas the ratio between objective and subjective components corresponds to that of the CS, there is a signficant difference in as much as radiological outcome is also evaluated 10 , 16 , 18 , 19 .…”