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Current Issue - March 2010, Volume 4, Issue No. 1

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

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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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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