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A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure

Charles, Edmund R.; Kumar, Vinod; Blacknall, James; Edwards, Kimberley L.; Geoghegan, John M.; Manning, Paul A.; Wallace, W. Angus

Authors

Edmund R. Charles

Vinod Kumar

James Blacknall

Kimberley L. Edwards

John M. Geoghegan

Paul A. Manning

W. Angus Wallace



Abstract

Background

Patients with acromioclavicular joint (ACJ) and sternoclavicular joint (SCJ) injuries and with clavicle fractures are typically younger and more active than those with other shoulder pathologies. We developed the Nottingham Clavicle Score (NCS) specifically for this group of patients to improve sensitivity for assessing the outcomes of treatment of these conditions compared with the more commonly used Constant Score (CS) and Oxford Shoulder Score (OSS).

Materials and methods

This was a cohort study in which the preoperative and 6-month postoperative NCS evaluations of outcome in 90 patients were compared with the CS, OSS, Imatani Score (IS), and the EQ-5D scores. Reliability was assessed using the Cronbach α. Reproducibility of the NCS was assessed using the test/retest method. Effect sizes were calculated for each score to assess sensitivity to change. Validity was examined by correlations between the NCS and the CS, OSS, IS, and EQ-5D scores obtained preoperatively and postoperatively.

Results

Significant correlations were demonstrated preoperatively with the OSS (P = .025) and all subcategories of the EQ-5D (P 

Journal Article Type Article
Publication Date Oct 31, 2017
Journal Journal of Shoulder and Elbow Surgery
Print ISSN 1058-2746
Electronic ISSN 1532-6500
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 26
Issue 10
APA6 Citation Charles, E. R., Kumar, V., Blacknall, J., Edwards, K. L., Geoghegan, J. M., Manning, P. A., & Wallace, W. A. (2017). A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure. Journal of Shoulder and Elbow Surgery, 26(10), https://doi.org/10.1016/j.jse.2017.03.036
DOI https://doi.org/10.1016/j.jse.2017.03.036
Keywords Clavicle, Acromioclavicular joint, Sternoclavicular joint, Patient reported outcome measure, ACJ dislocation, SCJ dislocation
Publisher URL http://www.sciencedirect.com/science/article/pii/S1058274617302161
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0





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