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http://dx.doi.org/10.5397/cise.2015.18.4.206

Evaluation of Rotator Cuff Repair Using Korean Shoulder Scoring System  

Shin, Sang-Jin (Ewha Shoulder Disease Center, Department of Orthopedic Surgery, Ewha Womans University School of Medicine)
Lee, Juyeob (Ewha Shoulder Disease Center, Department of Orthopedic Surgery, Ewha Womans University School of Medicine)
Ko, Young-Won (Ewha Shoulder Disease Center, Department of Orthopedic Surgery, Ewha Womans University School of Medicine)
Park, Min-Gyue (Ewha Shoulder Disease Center, Department of Orthopedic Surgery, Ewha Womans University School of Medicine)
Publication Information
Clinics in Shoulder and Elbow / v.18, no.4, 2015 , pp. 206-210 More about this Journal
Abstract
Background: Assessment of the clinical outcomes after rotator cuff repair is essential for their effectiveness on treatment. The Korean Shoulder and Elbow Society devised the Korean Shoulder Scoring System (KSS) for patients with rotator cuff disorder. The purpose of this study was to evaluate the availability of the KSS for assessment of clinical outcomes in patients after arthroscopic rotator cuff repair, and for comparison with other appraisal scoring systems. Methods: A total of 130 patients with partial-thickness or full-thickness rotator cuff tear who underwent arthroscopic repair using a single row or double row suture bridge technique were enrolled. The average follow-up period was 25.9 months. All patients were classified according to various factors. Comparison within corresponding categories was performed, and the correlation between the KSS and other shoulder assessment methods including University of California Los Angeles (UCLA), Constant and American Shoulder and Elbow Surgeons (ASES) score was analyzed. Results: Total score of the KSS response had increased from 59.6 preoperatively to 88.96 at last follow-up. All KSS domains, including function, pain, satisfaction, range of motion, and muscle power had improved up to 24 months postoperatively. Statistical significance was observed mainly in preoperative measurements with number and size of torn tendons, and greater than or equal to grade 3 of fatty infiltration. The KSS was best correlated with the UCLA scoring system in both preoperative (r=0.785) and postoperative (r=0.951) measurements. Conclusions: The KSS was highly reliable and valid as a discriminative instrument, and it showed strong correlation with ASES and UCLA scoring systems.
Keywords
Korean Shoulder Scoring System; Shoulder scoring system;
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1 Richards RR, An KN, Bigliani LU, et al. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg. 1994;3(6):347-52.   DOI
2 Tingart M, Bathis H, Lefering R, Bouillon B, Tiling T. Constant Score and Neer Score. A comparison of score results and subjective patient satisfaction. Unfallchirurg. 2001;104(11):1048-54.   DOI
3 Tae SK, Rhee YG, Park TS, et al. The development and validation of an appraisal method for rotator cuff disorders: the Korean Shoulder Scoring System. J Shoulder Elbow Surg. 2009;18(5):689-96.   DOI
4 Choi CH, Kim SK, Cho MR, et al. Functional outcomes and structural integrity after double-pulley suture bridge rotator cuff repair using serial ultrasonographic examination. J Shoulder Elbow Surg. 2012;21(12):1753-63.   DOI
5 Roy JS, MacDermid JC, Woodhouse LJ. A systematic review of the psychometric properties of the Constant-Murley score. J Shoulder Elbow Surg. 2010;19(1):157-64.   DOI
6 Longo UG, Vasta S, Maffulli N, Denaro V. Scoring systems for the functional assessment of patients with rotator cuff pathology. Sports Med Arthrosc. 2011;19(3):310-20.   DOI
7 Harvie P, Pollard TC, Chennagiri RJ, Carr AJ. The use of outcome scores in surgery of the shoulder. J Bone Joint Surg Br. 2005;87(2):151-4.
8 Kirkley A, Alvarez C, Griffin S. The development and evaluation of a disease-specific quality-of-life questionnaire for disorders of the rotator cuff: The Western Ontario Rotator Cuff Index. Clin J Sport Med. 2003;13(2):84-92.   DOI
9 Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83.   DOI
10 McElvany MD, McGoldrick E, Gee AO, Neradilek MB, Matsen FA 3rd. Rotator cuff repair: published evidence on factors associated with repair integrity and clinical outcome. Am J Sports Med. 2015;43(2):491-500.   DOI
11 Snyder CF, Aaronson NK, Choucair AK, et al. Implementing patient-reported outcomes assessment in clinical practice: a review of the options and considerations. Qual Life Res. 2012; 21(8):1305-14.   DOI
12 Angst F, Schwyzer HK, Aeschlimann A, Simmen BR, Goldhahn J. Measures of adult shoulder function: Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and its short version (QuickDASH), Shoulder Pain and Disability Index (SPADI), American Shoulder and Elbow Surgeons (ASES) Society standardized shoulder assessment form, Constant (Murley) Score (CS), Simple Shoulder Test (SST), Oxford Shoulder Score (OSS), Shoulder Disability Questionnaire (SDQ), and Western Ontario Shoulder Instability Index (WOSI). Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S174-88.   DOI
13 Constant CR, Gerber C, Emery RJ, Sojbjerg JO, Gohlke F, Boileau P. A review of the Constant score: modifications and guidelines for its use. J Shoulder Elbow Surg. 2008;17(2):355-61.   DOI