title: [A simple clavicle score. An effective and reliable classification for outcome assessments of midclavicular fractures].
abstract: BACKGROUND
  To compile an evaluation system (score) for post-treatment outcomes of midclavicular fractures, 172 patients were studied on average 15 months post-injury. As a control group 45 healthy volunteers were examined. The most relevant elements were filtered out for use in a new classification system, the Clavicle Score (CS).
  
  
  METHODS
  The CS is based on a system of three partnered objective/subjective items as well as radiographic assessment of fracture healing. For the partnered items, subjective responses with the most significant correlation to the specific objective parameters were selected. Total score cutoff values (very good, good, moderate, poor) were established to keep interpretation simple. To validate the system, linear regression analysis was performed comparing the CS to two established assessment systems (Constant Score and the DASH Score).                                ERGEBNISSE:                  The correlation coefficients R=0.756 (Constant) and R=0.687 indicated that the conclusions were comparable and therefore valid. The reliability coefficient Cronbach's alpha was calculated at 0.8241, indicating high reliability.
  
  
  CONCLUSIONS
  The CS is a simple, valid and reliable instrument to assess outcomes post-midclavicular fracture.
authors: Abteilung für Unfall- und Wiederherstellungschirurgie, Eduardus-Krankenhaus Köln, Custodisstraße 3-17, 50967, Köln, Deutschland. axeljubel@t-online.de
authors: A
authors: A
authors: Jubel
authors: G
authors: G
authors: Weißhaar
authors: C
authors: C
authors: Faymonville
authors: J
authors: J
authors: Andermahr
authors: G
authors: G
authors: Schiffer
references: Surg Radiol Anat. 2006 Oct;28(5):447-56
references: 16943999
references: Am J Ind Med. 1996 Jun;29(6):602-8
references: 8773720
references: Unfallchirurg. 2005 Sep;108(9):707-14
references: 15977006
references: Unfallheilkunde. 1984 Nov;87(11):467-73
references: 6516036
references: J Bone Joint Surg Br. 1992 May;74(3):362-4
references: 1587877
references: Unfallchirurg. 1996 Sep;99(9):656-64
references: 9005577
references: J Bone Joint Surg Br. 1997 Jul;79(4):537-9
references: 9250733
references: Clin Orthop Relat Res. 2003 Mar;(408):279-85
references: 12616071
references: Am J Orthop (Belle Mead NJ). 1998 May;27(5):375-80
references: 9604112
references: Acta Orthop. 2005 Aug;76(4):496-502
references: 16195064
references: Unfallchirurg. 2001 Nov;104(11):1048-54
references: 11760336
references: J Bone Joint Surg Am. 2003 May;85(5):790-7
references: 12728026
references: Orthopade. 1992 Apr;21(2):140-7
references: 1594234
references: J Orthop Trauma. 2009 Feb;23(2):106-12
references: 19169102
references: J Orthop Trauma. 1998 Nov-Dec;12(8):572-6
references: 9840792
references: Swiss Surg. 1997;3(2):69-75
references: 9190281
references: Arch Orthop Trauma Surg. 2001;121(4):207-11
references: 11317682
references: Hefte Unfallheilkd. 1982;160:55-75
references: 7169372
references: Chirurg. 2002 Oct;73(10):978-81
references: 12395155
references: Clin Orthop Relat Res. 1987 Jan;(214):160-4
references: 3791738
references: Helv Chir Acta. 1982 Jan;48(5):571-83
references: 7068411
references: Chirurg. 1969 Mar;40(3):129-32
references: 5352246
references: Unfallchirurgie. 1997 Oct;23(5):183-90; discussion 191-2
references: 9446273
references: Acta Orthop. 2007 Jun;78(3):424-9
references: 17611859
references: J Orthop Trauma. 2008 Aug;22(7):458-62
references: 18670285
references: J Bone Joint Surg Am. 1979 Mar;61(2):296-8
references: 422620
references: J Bone Joint Surg Am. 2006 Jan;88(1):35-40
references: 16391247
references: Arch Orthop Trauma Surg. 1986;105(6):337-8
references: 3813845