Sensitiveness of the Constant-Murley’s Shoulder and Quick DASH as an Outcome Measure for Midshaft Clavicle Fracture
Background: Quick DASH and Constant-Murley’s Shoulder are two valid measuring tools for health status and are useful for patients with a wide variety of upper-extremity complaints; it is sufficiently sensitive to reveal even small changes in function. Objective: To evaluate the sensitivity of Quick DASH and Constant-Murley’s Shoulder as an outcome measurement for midshaft clavicle fracture. Method: The study population consisted of 64 patients with a diagnosis of midshaft clavicle fracture based on clinical and radiological criteria. Study design was that of a classic prospective cohort study with measurements at 3 and 6 months following the injury. Evaluation was based on effect size (ES) and standardized response means (SRM). Result: Both Quick DASH and Constant-Murley’s Shoulder showed high sensitivity (ES: 0.711; SRM: 1.46 and ES: 0.628; SRM: 1.45, respectively). Conclusion: Quick DASH was more sensitive than Constant-Murley’s Shoulder in detecting clinical changes on midshaft clavicle fractures at 3 and 6 month following treatment.
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