• Ulus Travma Acil Cer · Jan 2020

    Traumatic upper extremity injuries: Analysis of correlation of mangled extremity severity score and disabilities of the arm, shoulder and hand score.

    • Gloria Maria Hohenberger, Janos Cambiaso-Daniel, Angelika Maria Schwarz, Stafanos Boukovalas, Franz Josef Seibert, Peter Konstantiniuk, and Tina Cohnert.
    • Department of Orthopaedics and Trauma, Medical University of Graz, Graz-Austria.
    • Ulus Travma Acil Cer. 2020 Jan 1; 26 (1): 95-102.

    BackgroundThe Mangled Extremity Severity Score is a decision-making tool for limb amputation after trauma. The Disabilities of the Arm, Shoulder and Hand questionnaire was developed to quantify posttraumatic functional deficits of the upper extremity. This study aims to determine the correlation between these two assessments.MethodsIn this study, a retrospective review of all patients with upper extremity injuries who had been treated with vascular reconstruction at two centres between 2005 and 2014 was performed. The respective Mangled Extremity Severity Score was calculated for each participant. Patients were recalled for follow-up examination and assessment of the Disabilities of the Arm, Shoulder and Hand Score.ResultsIn this study, 14 patients met the inclusion criteria. The mean total Mangled Extremity Severity Score was 5.9 and the mean total Disabilities of the Arm, Shoulder and Hand Score was 30 points. There was no statistically significant correlation between these assessments (Spearman's rank correlation coefficient: 0.49, p=0.075).ConclusionThe Disabilities of the Arm, Shoulder and Hand Score did not correlate significantly with the Mangled Extremity Severity Score.

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