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先单纯肩关节前脱位复位后评定疗效4种评分量表的比较研究

贾雪峰 毕擎 方基石 林格生 王之宇 吴志勇

浙江医学Issue(16):1379-1381,3.
浙江医学Issue(16):1379-1381,3.

先单纯肩关节前脱位复位后评定疗效4种评分量表的比较研究

Comparison of four scoring scales in functional evaluation of anterior shoulder after reduction for simple join dislocation

贾雪峰 1毕擎 2方基石 1林格生 1王之宇 1吴志勇1

作者信息

  • 1. 321200 武义县第一人民医院骨科
  • 2. 浙江省人民医院骨科
  • 折叠

摘要

Abstract

Objective To compare four scoring scales in functional evaluation of anterior shoulder after reduction for simple joint dislocation. Methods One hundred patients with simple anterior shoulder join dislocation, including 48 males and 52 females with a mean age of 42.3y (21~54y), underwent reduction procedure under brachial plexus block. The CMS (Constangt- Murley score), Rowe score, UCLA (University of California at Los Angeles scale), ASES (rating scale of the American shoulder and elbow surgeons) were used to evaluate shoulder function and SF- 36 was used to assess the quality of life on 3 months after reduction, and the second evaluation with the same scales were performed 1 week later. Results The Cronbach's Alpha values of CMS, Rowe score, UCLA and ASES were 0.871, 0.765, 0.766 and 0.822, respectively. The intra- class correlation coefficient of CMS, Rowe score, UCLA and ASES were 0.918, 0.430, 0.772 and 0.970(P<0.05). The correlation coefficients of CMS, Rowe score, UCLA and ASES with SF- 36 were 0.841, 0.737, 0.665 and 0.912, respectively(P<0.05). Conclusion The performance of ASES for ante-rior shoulder function evaluation is relatively good, but lacks specificity for overal shoulder joint assessment. More balanced sub-jective and objective scales are needed for functional evaluation of anterior shoulder dislocation after joint reduction.

关键词

评分量表/肩关节/前脱位

Key words

Shoulder score scale/Shoulder/Anterior dislocation

引用本文复制引用

贾雪峰,毕擎,方基石,林格生,王之宇,吴志勇..先单纯肩关节前脱位复位后评定疗效4种评分量表的比较研究[J].浙江医学,2014,(16):1379-1381,3.

基金项目

浙江省医药卫生科技计划项目 ()

浙江医学

OACSTPCD

1006-2785

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