Wolfgang gave criteria for rating the result of surgical repair for a torn shoulder rotator cuff. The study was done at the Geisinger Medical Center in Pennsylvania.
Parameters used in rating score:
(1) pain
(2) range of motion in abduction
(3) strength
(4) function
(5) overall satisfaction with outcome
|
Parameter |
Finding |
Points |
|
pain |
absent regardless of activity |
4 |
|
|
mild with vigorous activity |
3 |
|
|
moderate, restricting some activity |
2 |
|
|
moderate, restricting most activity |
1 |
|
|
severe, constant, disabling |
0 |
|
range of motion (abduction) |
> 150° |
4 |
|
|
120 – 149° |
3 |
|
|
90 – 119° |
2 |
|
|
10 – 89° |
1 |
|
|
0 – 9° (< 10°) |
0 |
|
strength |
normal |
4 |
|
|
mild weakness (against resistance) |
3 |
|
|
moderate weakness (against gravity) |
2 |
|
|
severe weakness (gravity eliminated) |
1 |
|
|
absent |
0 |
|
function |
no impairment |
4 |
|
|
restricts strenuous working |
3 |
|
|
restricts all working |
2 |
|
|
prevents most common usage |
1 |
|
|
no functional value |
0 |
|
satisfaction |
pleased |
1 |
|
|
neutral |
0 |
|
|
not pleased |
-1 |
from Table 1, page 20.
where:
• The satisfaction entry "neutral" is not in Table 1. I added it.
total rating score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: -1
• maximum score: 17
• Results at 6-9 months were not likely to change subsequently.
|
Total Score |
Overall Rating |
|
14 to 17 |
excellent |
|
11 to 13 |
good |
|
8 to 10 |
fair |
|
-1 to 7 |
poor |
Specialty: Surgery, orthopedic
ICD-10: ,
