Traumatic Upper Extremity Injuries: Analysis of Correlation of Mangled Extremity Severity Score and Disabilities of the Arm, Shoulder and Hand Score [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. Ahead of Print: UTD-44939 | DOI: 10.14744/tjtes.2019.44939  

Traumatic Upper Extremity Injuries: Analysis of Correlation of Mangled Extremity Severity Score and Disabilities of the Arm, Shoulder and Hand Score

Gloria Maria Hohenberger1, Janos Cambiaso-daniel2, Angelika Maria Schwarz3, Stafanos Boukovalas4, Franz Josef Seibert1, Peter Konstantiniuk5, Tina Cohnert5
1Department of Orthopaedics and Trauma Surgery, Medical University of Graz, Graz, Austria.
2Division of Plastic, Reconstructive and Aesthetic Surgery; Department of Surgery; Medical University of Graz, Graz, Austria.
3AUVA Trauma Hospital Graz, Graz, Austria.
4Division of Plastic Surgery, University of Texas Medical Branch, Galveston, Texas, USA
5Division of Vascular Surgery; Department of Surgery, Medical University of Graz; Graz, Austria

Background: The Mangled Extremity Severity Score is a decision making tool for limb amputation after trauma. The Disabilities of the Arm, Shoulder and Hand questionnaire was created to quantify posttraumatic functional deficits of the upper extremity. The goal of this study was to determine correlation between these two assessments.
Methods: 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.
Results: Fourteen 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 score 30 points. There was no statistically significant correlation between these assessments (Spearman's rank correlation coefficient: 0.49, p =.075).
Conclusions: The Disabilities of the Arm, Shoulder and Hand Score did not correlate significantly with the Mangled Extremity Severity Score.

Keywords: Upper Extremity Trauma, Vascular Trauma, Mangled Extremity, Amputation




Corresponding Author: Gloria Maria Hohenberger, Austria


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