Longo Umile Giuseppe, Franceschi Francesco, Loppini Mattia, Maffulli Nicola, Denaro Vincenzo
Department of Orthopaedic and Trauma Surgery, Campus Biomedico University, Via Alvaro del Portillo, 200, 00128 Trigoria Rome, Italy.
Br Med Bull. 2008;87:131-61. doi: 10.1093/bmb/ldn023. Epub 2008 Jun 6.
Many scoring systems have been used for elbow disorders. However, only few of these have been validated, and many assess only few aspects of elbow function.
A literature search was performed using the keyword 'elbow' in combination with 'scoring system', 'outcome assessment', 'elbow disorder' and 'clinical evaluation'.
Eighteen scoring systems are currently available for the evaluation of elbow disorders. Each of them evaluates the elbow performance using specific variables, including both objective and subjective criteria. All these scoring systems are presented.
Although many scoring systems have been used to evaluate elbow function, we are still far from a single outcome evaluation system which is reliable, valid and sensitive to clinically relevant changes, takes into account both patients' and physicians' perspective and is short and practical to use.
Further studies are required to evaluate the reliability, validity and sensitivity of the elbow scoring systems used in the common clinical practice.
许多评分系统已用于肘部疾病。然而，其中只有少数经过验证，而且许多系统仅评估肘部功能的几个方面。
使用关键词“肘部”结合“评分系统”、“结果评估”、“肘部疾病”和“临床评估”进行文献检索。
目前有18种评分系统可用于评估肘部疾病。它们各自使用特定变量评估肘部表现，包括客观和主观标准。所有这些评分系统均有介绍。
尽管已使用许多评分系统来评估肘部功能，但我们距离一个可靠、有效且对临床相关变化敏感、兼顾患者和医生观点且简短实用的单一结果评估系统仍有很大差距。
需要进一步研究以评估常见临床实践中使用的肘部评分系统的可靠性、有效性和敏感性。
