Allom R, Colegate-Stone T, Gee M, Ismail M, Sinha J
King's College Hospital, London, UK.
J Bone Joint Surg Br. 2009 Mar;91(3):367-73. doi: 10.1302/0301-620X.91B3.20714.
A consecutive series of 372 patients who underwent surgery for disorders of the rotator cuff involving arthroscopic subacromial decompression and open or arthroscopic repairs of the cuff were prospectively investigated as to the comparability of subjective and objective assessment scores of shoulder function. Assessments were made before operation and at 3, 6, 12, 18 and 24 months after surgery using the Disabilities of the Arm, Shoulder, and Hand score, the Oxford shoulder score and the Constant-Murley score, which was used as a reference. All scores were standardised to a scale of 0 to 100 for comparison. Statistical analysis compared the post-operative course and the mean score for the subjective Disabilities to the Arm, Shoulder and Hand score and Oxford shoulder score, with the objective Constant score at each interval. A strong correlation was evident between both subjective scores and the Constant score. We concluded that both the subjective scores would be useful substitutes for the Constant score, obviating the need for a trained investigator and the specialist equipment required to perform the Constant score.
对连续372例因肩袖疾病接受手术（包括关节镜下肩峰下减压以及肩袖的开放或关节镜修复）的患者，前瞻性地研究了肩功能主观和客观评估评分的可比性。术前以及术后3、6、12、18和24个月，使用手臂、肩部和手部功能障碍评分、牛津肩部评分以及用作参考的Constant-Murley评分进行评估。所有评分均标准化为0至100分以便比较。统计分析比较了术后病程以及主观的手臂、肩部和手部功能障碍评分与牛津肩部评分的平均得分，以及各时间间隔的客观Constant评分。主观评分与Constant评分之间均存在明显的强相关性。我们得出结论，这两种主观评分均可有效替代Constant评分，无需训练有素的研究人员以及进行Constant评分所需的专业设备。
