[Three kind of scoring system for proximal humeral fractures in patients with postoperative functional review of evaluation: a multicenter study].
OBJECTIVE
To evaluate the ASES, Constant and HSS score systems and their significance on postoperative function of the shoulder.


METHODS
Totally 172 cases of proximal humeral fracture of five affiliated hospital from September 2004 to September 2008 were analyzed. All the functional outcome of the involved shoulder were evaluated by ASES, Constant, HSS score and patient self score. The correlations and agreement of three shoulder scales were analyzed with Pearson correlation test and Bland-Altman plot in different age groups and fracture types.


RESULTS
(1) The Constant score were lower than other two scores in the same age group and fracture type (F = 13.62 and 4.80, P < 0.05). (2) The correlations between three shoulder scales: ASES and Constant (r = 0.754, P = 0.0003), ASES and HSS (r = 0.755, P = 0.0001), Constant and HSS (r = 0.858, P = 0.0002). The correlations between three shoulder scales and patient self evaluation: ASES (r = 0.602, P = 0.0002), Constant (r = 0.705, P = 0.0001), HSS (r = 0.663, P = 0.0037). The Bland-Altman plot shows three shoulder scales have good agreement. (3)The correlation between Constant score and patient self evaluation decreased in the elder group and severe fracture type.


CONCLUSIONS
ASES, Constant, HSS shoulder score systems are all fit to evaluate the functional outcome of the shoulder, they have good correlation and agreement. Constant score in recommended for its high correlation coefficient with patient self evaluation score. However, its age bias must be paid attention in clinical practice. ASES shoulder score can be used in remote follow-up.
Department of Orthopaedic Trauma, the People's Hospital of Peking University, Beijing 100044, China.
Lu
L
Bai
Tian-bing
TB
Wang
Pei-xun
PX
Zhang
Jing
J
Wang
Hai-lin
HL
Xu
Feng
F
Xue
Jian-hai
JH
Chen
Yu
Y
Dang
Ming
M
Yang
Jian
J
Xiong
Zhong-guo
ZG
Fu
Dian-ying
DY
Zhang
Hong-bo
HB
Zhang
Gang
G
Wang
Hui-liang
HL
Shen
Guang-lin
GL
Wang
Xin-bao
XB
Wu
Bao-guo
BG
Jiang
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012189:Retrospective Studies; D012784:Shoulder Fractures / Q000503:physiopathology* / Q000601:surgery; D012785:Shoulder Joint / Q000503:physiopathology*; D015599:Trauma Severity Indices; D055815:Young Adult