The assessment of shoulder instability

Dawson, Jill; Fitzpatrick, R; Carr, Andrew

doi:10.1302/0301-620x.81b3.0810420

Cited by 107 publications

(22 citation statements)

References 22 publications

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“…In line with previous studies, the SANEM showed a high correlation with CS [13, 14]. The OSS and OSIS also correlated high with the SANEM, another expected result since they both measure function and pain [10, 11]. A moderate correlation between the SST and the SANEM was found.…”

Section: Discussionsupporting

confidence: 90%

“…The Oxford Shoulder Instability Score is a shoulder-specific measurement which is also disease-specific for patients with instability problems. It was developed in the UK by Dawson et al in order to assess the outcome of a treatment for shoulder instability [11]. The OSIS contains 12 questions about pain and shoulder function with 5 responses for each question.…”

Section: Methodsmentioning

confidence: 99%

“…They are becoming more and more important in evaluating the treatment of patients with all kind of diseases. Some PROMs evaluate patient’s perception of their overall health and quality of life while others are disease-specific or body part-specific PROMs [9–11].…”

Section: Introductionmentioning

confidence: 99%

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Translation and evaluation of psychometric properties of the Dutch version of the Single Assessment and Numeric Evaluation Method (SANEM) in shoulder patients

Theeuwen¹,

Steen²,

Bonneux³

et al. 2019

J Orthop Surg Res

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Background The Single Assessment Numeric Evaluation Method (SANEM) is a holistic patient-reported outcome measure (PROM) that includes all aspects involving the shoulder. It is simple and easy to administer. It consists of only one question, namely how would you rate your shoulder today as a percentage of normal (0 to 100% with 100% being normal)? The purpose of this study was to translate the SANEM in Dutch and to assess its construct validity, reliability, and responsiveness. Methods The SANEM was translated into Dutch using forward and backward translation. Hypothesis testing was used to determine construct validity and responsiveness, 75% needed to be confirmed. Previous validated PROMs were used as comparator instrument for testing construct validity. Test-retest reliability (2-week interval), Standard Error of Measurement, and Smallest Detectable Change were calculated as reliability analyses. One year after baseline, we evaluated the responsiveness. Results One hundred seven patients (55% women) with a mean age of 54 years were included. Of the hypotheses formed in advance to assess construct validity, 67% was confirmed, meaning there was no adequate construct validity and the SANEM cannot replace all other PROMs. With an intraclass correlation coefficient of 0.95, excellent test-retest reliability was found. Of the hypotheses formed in advance to evaluate the responsiveness, 75% was confirmed, indicating the SANEM has good responsiveness. Conclusion Although the SANEM cannot replace all other PROMs, it is a reliable instrument to assess if a patients’ shoulder, regarding the whole shoulder, changes over time or stays unchanged. Level of evidence Level II

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Section: Discussionsupporting

confidence: 90%

Section: Methodsmentioning

confidence: 99%

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Translation and evaluation of psychometric properties of the Dutch version of the Single Assessment and Numeric Evaluation Method (SANEM) in shoulder patients

Theeuwen¹,

Steen²,

Bonneux³

et al. 2019

J Orthop Surg Res

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“…Missing data were accounted for by restricted maximum likelihood estimation. 19 Players completed 3 online PROMs after a minimum of 12 months postoperatively, including the Oxford Shoulder Score (OSS; scores range from 0 [worst] to 48), 10 the Nottingham Clavicle Score (NCS; scores range from 0 [worst] to 100), 8 and the Specific Acromioclavicular Score (SACS; scores range from 0 [best] to 100). 4 The OSS is a measure of general shoulder function, and the NCS and SACS are scores that are specific and sensitive to measuring changes in the ACJ population.…”

Section: Methodsmentioning

confidence: 99%

Return to Play After Surgical Treatment of High-Grade Acromioclavicular Joint Injuries in the Australian Football League

Borbas

Warby

Yalizis³

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: Acromioclavicular joint (ACJ) injuries are the second most common upper limb injuries in the Australian Football League (AFL); however, there is little evidence on the return-to-sport results after surgical stabilization of the ACJ in this sporting population. Purpose: To investigate the return-to-sport time, on-field performance, and patient-reported outcomes in a series of professional AFL players after undergoing ACJ stabilization. Study Design: Case series; Level of evidence, 4. Methods: We conducted a retrospective case series of all AFL players who had undergone open twin-tailed dog-bone ACJ stabilization by a single surgeon between September 2013 and April 2017. Outcome measures included time to return to sport, on-field performance indicators (handballs, tackles, kicks, and AFL Fantasy and Supercoach scores), the Nottingham Clavicle Score, Oxford Shoulder Score, and the Specific Acromioclavicular Score. Patient-reported outcomes were evaluated at a minimum follow-up of 12 months. Results: Of 13 senior listed AFL players who underwent twin-tailed dog-bone surgery, 9 players were included. Mean follow-up was 24.8 months (range, 5-41 months) postoperatively. Mean return-to-sport time was 8.6 weeks for injuries that occurred within the season. The number of kicks, marks, handballs, and tackles as well as AFL Supercoach and Fantasy scores did not significantly change after surgery ( P > .05). Outcome measures showed a high level of patient satisfaction after surgery, with a mean Nottingham Clavicle Score of 92.2, Oxford Shoulder Score of 47.7, and the Specific Acromioclavicular Score of 7.5. Conclusion: In a collective of professional AFL players with ACJ injury, our twin-tailed dog-bone technique revealed return to competitive play could be achieved at a mean of 8.6 weeks without compromising on-field performance or patient-reported pain, function, and satisfaction.

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“…All patients who underwent rotator cuff repair surgery in our institution were assessed by a trained healthcare professional blinded to the surgical procedure performed at our orthopaedic diagnostic centre preoperatively and also post-operatively at 3, 6, 12 and 24 months. The assessment included several parameters such as numerical pain rating scale (NPRS), constant shoulder score (CSS), 6,7 Oxford shoulder score (OSS) 8,9 and University of California, Los Angeles shoulder score (UCLASS). 10 The length of operation was recorded in the operation notes after the surgery, which also included whether any concurrent biceps tenotomy or tenodesis was performed.…”

Section: Methodsmentioning

confidence: 99%

Arthroscopic undersurface rotator cuff repair versus conventional arthroscopic double-row rotator cuff repair – Comparable results at 2-year follow-up

Ang

Chen

Yeo

et al. 2018

J Orthop Surg (Hong Kong)

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The assessment of shoulder instability

Abstract: The shoulder is designed for maximum mobility and is therefore the most common joint to develop instability.

Cited by 107 publications

References 22 publications

Translation and evaluation of psychometric properties of the Dutch version of the Single Assessment and Numeric Evaluation Method (SANEM) in shoulder patients

Translation and evaluation of psychometric properties of the Dutch version of the Single Assessment and Numeric Evaluation Method (SANEM) in shoulder patients

Return to Play After Surgical Treatment of High-Grade Acromioclavicular Joint Injuries in the Australian Football League

Arthroscopic undersurface rotator cuff repair versus conventional arthroscopic double-row rotator cuff repair – Comparable results at 2-year follow-up

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