The Hospital for Special Surgery has a shorter evaluation instrument for patients with elbow dysfunction called the Total Elbow Scoring System, or HSS2.
Parameters:
(1) pain
(2) function and restriction
(3) activities
(3a) bending ability
(3b) activity level, including activities of daily living (ADL)
|
Parameter |
Finding |
Points |
|---|---|---|
|
pain |
none or ignores |
50 |
|
|
slight, with occasional pain medication |
45 |
|
|
moderate with daily pain medication |
35 |
|
|
moderate with rest or night pain |
15 |
|
|
severe, disabled |
0 |
|
function |
no limitation |
30 |
|
|
slight limitation, but no restriction in activities of daily living |
25 |
|
|
unable to lift object > 10 pounds |
20 |
|
|
moderate restrictions of activities of daily living |
10 |
|
|
unable to comb hair or touch head |
5 |
|
|
unable to feed self |
0 |
|
bending activities |
for 30 minutes |
8 |
|
|
for 15 minutes |
6 |
|
|
for 5 minutes |
4 |
|
|
cannot use elbow |
0 |
|
activity |
unlimited |
12 |
|
|
limited for recreation |
10 |
|
|
household work and employment |
8 |
|
|
independent self-care |
6 |
|
|
invalid |
0 |
HSS2 =
= SUM(points for the 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 100
|
Score |
Interpretation |
|
90 - 100 |
excellent |
|
80 - 89 |
good |
|
70 - 79 |
fair |
|
60 - 69 |
poor |
|
< 60 |
very poor; failure |
Purpose: To use the Hospital for Special Surgery total elbow scoring system (HSS2) to evaluate a person with elbow dysfunction.
Specialty: Surgery, orthopedic
Objective: clinical diagnosis, including family history for genetics, severity, prognosis, stage
ICD-10: S53,
