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新型计算机化肘部和前臂临床评分

New Computerized Elbow and Forearm Clinical Scores.

作者信息

Herzberg Guillaume, Burnier Marion, Ly Lyliane, Nakamura Toshiyatsu

机构信息

Department of Orthopedics, I-Trues Surgery Unit, Clinique Parc Lyon, Lyon, France.

Department of Orthopedics, I-TRues Surgery Unit, Institut Main Membre Supérieur, Villeurbanne, France.

出版信息

J Wrist Surg. 2022 Sep 26;11(6):474-478. doi: 10.1055/s-0042-1753507. eCollection 2022 Dec.

DOI:10.1055/s-0042-1753507
PMID:36504536
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9731741/
Abstract

Current elbow clinical scores are scarce with limited comparability between them. None of them are computerized yet. There is no forearm clinical score assessing all anatomical components of forearm disorders such as the Essex-Lopresti injuries. The aims of this paper were to present new computerized elbow and forearm clinical scores.  These new computerized elbow and forearm clinical scores include four clinical criteria: pain, function, active range of motion and muscle strength. To each criterion is given a numerical value among 5 grades. The weight of each criterion is equivalent so that patient's and physician's related scores are equally balanced.  Clinical scores components are automatically included into diamond-shape graphs and tables that can be directly exported into PowerPoint presentations for demonstration and comparison purposes.  These user-friendly updatable clinical elbow and forearm scores are based on four classic clinical criteria, pain, function, motion, and strength that are expressed into grades. They were designed to evaluate any osteoarticular elbow or forearm disorder regardless of the etiology. These scores are open since they may be modified in future versions.

摘要

目前肘部临床评分较少,且相互之间可比性有限。它们均未实现计算机化。尚无用于评估前臂疾病(如埃塞克斯-洛普雷斯蒂损伤)所有解剖学组成部分的前臂临床评分。本文的目的是提出新的计算机化肘部和前臂临床评分。

这些新的计算机化肘部和前臂临床评分包括四个临床标准

疼痛、功能、主动活动范围和肌肉力量。每个标准在5个等级中赋予一个数值。每个标准的权重相等,以便患者和医生相关评分得到同等平衡。

临床评分组成部分会自动纳入菱形图表和表格,这些图表和表格可直接导出到PowerPoint演示文稿中用于展示和比较。

这些用户友好且可更新的肘部和前臂临床评分基于四个经典临床标准,即疼痛、功能、活动和力量,并以等级表示。它们旨在评估任何病因的骨关节肘部或前臂疾病。这些评分是开放式的,因为它们可能会在未来版本中修改。

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1
New Computerized Elbow and Forearm Clinical Scores.新型计算机化肘部和前臂临床评分
J Wrist Surg. 2022 Sep 26;11(6):474-478. doi: 10.1055/s-0042-1753507. eCollection 2022 Dec.
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A New Wrist Clinical Evaluation Score.一种新的腕关节临床评估评分。
J Wrist Surg. 2018 Apr;7(2):109-114. doi: 10.1055/s-0037-1607328. Epub 2017 Oct 30.
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Chronic Essex-Lopresti injuries: an alternative treatment method.慢性 Essex-Lopresti 损伤:一种替代治疗方法。
J Shoulder Elbow Surg. 2014 Jun;23(6):861-6. doi: 10.1016/j.jse.2014.01.043. Epub 2014 Apr 22.
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Late Reconstruction of the Interosseous Membrane with Bone-Patellar Tendon-Bone Graft for Chronic Essex-Lopresti Injuries: Outcomes with a Mean Follow-up of Over 10 Years.骨-髌腱-骨移植物重建骨间膜治疗慢性 Essex-Lopresti 损伤:平均随访超过 10 年的结果。
J Bone Joint Surg Am. 2018 Mar 7;100(5):416-427. doi: 10.2106/JBJS.17.00820.
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[Indication for Radial Head Resection in Traumatology].[创伤学中桡骨头切除术的适应症]
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Combined simple elbow dislocation and forearm joint injuries. A systematic review of the literature with injury patterns and current treatment rationale.单纯肘关节脱位合并前臂关节损伤。对损伤模式及当前治疗原理的文献系统综述。
Eur J Orthop Surg Traumatol. 2022 Apr;32(3):475-480. doi: 10.1007/s00590-021-02974-6. Epub 2021 May 21.
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[The Essex-Lopresti forearm fracture (case report)].[埃塞克斯-洛普雷斯蒂前臂骨折(病例报告)]
Acta Chir Orthop Traumatol Cech. 2002;69(2):113-6.
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Zhongguo Gu Shang. 2017 Jan 25;30(1):47-50. doi: 10.3969/j.issn.1003-0034.2017.01.011.
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引用本文的文献

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Isolated MASON type-III radial head fractures: radial head arthroplasty or open reduction and internal fixation - clinical and radiological outcomes with five to fourteen years of follow up.孤立性MASON III型桡骨头骨折:桡骨头置换术或切开复位内固定术——5至14年随访的临床和影像学结果
Int Orthop. 2025 Mar;49(3):767-777. doi: 10.1007/s00264-025-06445-z. Epub 2025 Feb 17.

本文引用的文献

1
Electronic Patient-Reported Outcome Collection Systems in Orthopaedic Clinical Practice.骨科临床实践中的电子患者报告结局收集系统
JBJS Rev. 2019 Jul;7(7):e2. doi: 10.2106/JBJS.RVW.18.00154.
2
Outcomes of distal humerus fractures: What are we measuring?肱骨远端骨折的治疗结果:我们在衡量什么?
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A New Wrist Clinical Evaluation Score.一种新的腕关节临床评估评分。
J Wrist Surg. 2018 Apr;7(2):109-114. doi: 10.1055/s-0037-1607328. Epub 2017 Oct 30.
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Elbow-specific clinical rating systems: extent of established validity, reliability, and responsiveness.肘特异性临床评分系统:已确立的有效性、可靠性和反应性的程度。
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Comparison of the subjective shoulder value and the Constant score.主观肩关节评分与Constant评分的比较。
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10
[Testing of pronation and supination strength in the outpatient setting: a preliminary study].[门诊环境下旋前和旋后力量测试:一项初步研究]
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