The Hong Kong Journal of Sports Medicine and Sports

Volume XI, Nov, 2000

Shoulder Assessment Systems: A Comparison of Three Different Methods

J.J. LAM, FHKAM (Orthopaedic Surgery), Consultant
F.K. IP, (Orthopaedic Surgery), Chief Service
W.C. WU, (Orthopaedic Surgery), Consultant

Department of Orthopaedics and Traumatology,
Pamela Youde Nethersole Eastern Hospital.
Chai Wan, Hong Kong.

A.Y.Y. AU.
Physiotherapy Department
Southorn Centre, Hong Kong

Seventy-five patients were assessed independently by two observers at the initial visit and after a period of eight week treatment. Three different assessment systems, namely UCLA, ASES and Constant, were used. The UCLA system had the lowest inter-observer difference Further, it was a simple and reliable scoring system which would not be biased by a total score. Out of the three systems UCLA produced the most optimistic assessment when the results were grouped into categories. For all of the three assessment methods, we found no uniformity of results among the ratings, especially when expressed in terms of categories. The congruence between the patients' satisfaction and the results was also low. Interpretation of the results of any shoulder assessment should be done in the light of the patients' subjective opinion.

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