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ADLER评分:如何量化和合格外部旋转的赤字

Harry Constantin¹, Quentin Rialet¹, Luis José María Suárez Jiménez¹

¹ICR - Institut de Chirurgie Réparatrice - Locomoteur & Sports (Institute For Sports and Reconstructive Bone & Joint Surgery). Nice, FRANCE.

Journal of shoulder and elbow surgery

|December 15, 2025

概括

新的ADLER评分有效地测量了旋转手套撕裂患者日常活动中的外部旋转缺陷. 这种经过验证的工具显示出高可靠性和响应性,改善了手术后的功能结果.

科学领域:

整形外科整形外科整形外科
肩部外科手术肩部外科手术
康复医学康复医学康复医学

背景情况:

巨大的不可修复的旋转带撕裂会导致功能障碍,特别是外部旋转缺陷.
现有的工具忽略了与外部轮流相关的日常生活活动 (ADL) 的特定缺陷.
ADLER (外部旋转中的日常生活活动) 评分是为了评估活跃的外部旋转残疾而开发的.

研究的目的:

使用Kirshner和Guyatt框架验证ADLER得分.
评估ADLER评分的可靠性,有效性和响应能力.
为了评估患者的分数,孤立的外部旋转损失 (ILER) 或联合的升高和外部旋转损失 (CLEER).

主要方法:

ADLER评分,包括10项得分为0-3 (共30分),是从患者报告的缺陷中得出的.
观察者之间的可靠性由两位盲目的骨科外科医生评估.
根据Constant-Murley得分和主观肩部值 (SSV) 评估有效性;在L'Episcopo肌移植后,通过手术前和手术后的得分来衡量反应性.

主要成果:

该ADLER得分显示了观测者之间的卓越可靠性 (皮尔森的r=0.98,ICC=0.98).
有效性得到证实,术后ADLER得分显著改善,与Constant-Murley和SSV结局相关.
显而易见的反应,显示了干预后23点的平均功能改善.

结论:

ADLER评分是一个可靠,有效和响应的工具,用于评估ADLs的外部旋转缺陷.
它适用于解决外部旋转赤字的各种程序,包括L'Episcopo转移,latissimus dorsi或下梯形转移.

关键词:

在ADLER得分中,得分是多的.喇吹奏者标志的标志是巨大的不可挽回的旋转部撕裂.临床评分系统临床评分系统外部旋转的外部旋转反向肩膀关节整形手术肌移植肌移植肌移植

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