melbourne instability shoulder score pdf

Walch-Duplay Score. Background: The shoulder is an important joint connecting upper limb to the trunk. Following the preseason tests, the occurrence of time-loss shoulder injury was recorded during the 2011–2012 season. Therefore, different sets of ques- ity Score (OSIS), and the Melbourne Instability Shoulder tions will be administered to different individuals with Scale (MISS). 21 To answer the questions, patients place a mark on a 10cm visual analogue scale for each question. The SANE index: is a single question, "how would you rate your shoulder today as a percentage of. An impaction fracture of the anteroinferior aspect of the humeral head (called a reverse Hill-Sachs (RHS) fracture) is always present in case of chronic locked posterior dislocation. Discussion UUOBJECTIVES: To evaluate the responsiveness of the Western Ontario Shoulder Instability Index (WOSI) and the Oxford Shoulder Instability Score (OSIS) and estimate their minimal important change (MIC). Our literature search identified 45 questionnaires assessing PROs in shoulder patients (see section on list of questionnaires below). Shoulder instability, subluxation and dislocation is common among athletes and can occur as a result of overuse or injury. Simply place an “X” on the line that … Multiple standardized metrics are used to measure shoulder dysfunction. No one test has been identified as the gold standard. Condition-specific measures such as the Melbourne Instability Shoulder Score (MISS) and Western Ontario Shoulder Instability Index (WOSI) have been utilized. Western Ontario Shoulder Instability Index (WOSI) Instructions: You are asked to indicate on this part of the questionnaire, the amount of a symptom you have experienced in the past week as related to your problematic shoulder. Results. Shoulder structure was evaluated by computed tomography. The first and most widely used score for shoulder instability was the Rowe score which was solely based on objective measures. Reading shoulder unit Instability questionnaire. Results: There were no significant differences between the two treatment groups at week 6. Reference for grading: Website. Younger patients are more likely to have recurrent instability. Short Form - 36. The Shoulder Rating Questionnaire (SRQ), Melbourne Instability Shoulder Score (MISS), Western Ontario Shoulder Instability Index (WOSI), Oxford Instability Score (OIS), and Simple Shoulder Test were shown to be reliable for patients with instability. Melbourne Instability Shoulder Score (MISS) questionnaire was used to check the amount of instability at shoulder joint. normal (0% to 100% scale with 100% being normal)?”. Rowe score ranging from 0 to 100 (best possible) and Western Ontario Shoulder Instability Index (WOSI) ranging from 0 (best possible) to 2100. The PDF of the article you requested follows this cover page. Final radiographs show a congruent reduced shoulder (Figure 5). ABSTRACT Introduction:The most commonly recommended treatment for multidirectional instability (MDI) of the shoulder is exercise. Despite this recommendation, there is limited evidence to support the effectiveness of exercise. Primary outcomes were the Melbourne Instability Shoulder Score (MISS) and the Western Ontario Shoulder Index (WOSI). Postural instability is a disabling feature of Parkinson’s disease (PD), contributing to recurrent falls and fall-related injuries. All patients were male with a mean age of 39 years (range 17–55). 1998;80:841-52. None of the patients older than 40 years old had suffered subsequent dislocations. Various examinations were performed on the patients postoperatively to determine the functionality of the shoulder joint and pain on movement. RESEARCH ARTICLE Open Access Treatment of myofascial trigger points in patients with chronic shoulder pain: a randomized, controlled trial Carel Bron1,2*, Arthur de Gast3, Jan Dommerholt4, Boudewijn Stegenga5, Michel Wensing1, Rob AB Oostendorp1 Abstract shoulder dislocations result in recurrent instability. Sixty-four patients with confirmed glenohumeral joint instability were assessed with both the Melbourne Instability Shoulder Scale (MISS) and SRQ12 preoperatively and at 6 months after shoulder reconstructive surgery. This paper. THE WESTERN ONTARIO ROTATOR CUFF INDEX (WORC) The following questions concern the physical symptoms you have experienced, how your shoulder has affected your work, sports or recreational activities, the amount that your shoulder has affected or changed your lifestyle, and your emotions with regards to your shoulder.Please answer these questions based on dislocation while 40% of patients who were between 20 and 40 years old suffered a second dislocation. Primary outcome measures were the Melbourne Instability Shoulder Score, Western Ontario Shoulder Instability Index, and Oxford Shoulder Instability Score. instability as “a clinical condition in which unwanted trans-lation of the head on the glenoid compromises the comfort and function of the shoulder.” The shoulder is the most mobile joint in the body, and the shoulder’s range of normal laxity values varies widely.31,51,53,88,89,96 Determining laxity of … However, the most commonly used evalu- the results reported on a common scale. bourne Instability Shoulder Score (MISS) and the Western Ontario Shoulder Index (WOSI) for people with MDI. Finally, the Oxford Shoulder Score was examined in one study (11.1% of all) , the Athletic Shoulder Outcome Scoring System (ASOSS) in one study (11.1%) , and the Melbourne Instability Shoulder Score (MISS) in one study (11.1%) (Table 2). Shoulder structures and functions. MDI or Rockwood Instability program. This score has been specifically developed for shoulder instability. ¨ ≥5 pubertal men and woman to age 50 Beighton Score: /9 ¨ ≥4 men and women over the age of 50 If Beighton Score is one point below age- and sex-specific cut off, two or more of the following must also be selected to meet criterion: Oxford Instability Shoulder Score Nuffield Department of Orthopeadic Surgery. The shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone) (see diagram). Testing of rotator cuff integrity should be part of all shoulder exam-* Address correspondence and reprint requests to T. Duncan Tennent, FRCS(Orth), Orthopaedic Research of Virginia, Suite 207, 7660 Parham Road, Richmond, VA 23294. € This is an enhanced PDF from The Journal of Bone and Joint Surgery J Bone Joint Surg Am. Posterior shoulder instability is considered rare as it comprises only a small subset of shoulder instabilities. The Rowe Score for Instability is To save this data please print or Nb: This page cannot be saved due to patient data protection so please print the filled in form before closing the window. The mean ISI score among patients who experienced recurrent instability was also significantly higher than those who did not. Shoulder instability 18 Shoulder fracture 15 Shoulder arthritis 10 Shoulder prosthesis 2: Elbow 23 9.0 Elbow fracture 13 Elbow tendinitis 8 Nerve entrapment (surgery) 2: Wrist 23 9.0 Wrist fracture 23: Hand 47 18.4 Flexor/extensor tendon injury 21 … As with other outcome measures from the 1980’s, the score was not validated but rapidly used worldwide and generally accepted as the best shoulder instability outcome score. Background —There is no disease specific, reliable, and valid clinical measure of Achilles tendinopathy. measures utilized to measure were the Melbourne Instability Shoulder Score (MISS) and the Western Ontario Shoulder Index (WOSI). Shoulder instability represents a spectrum of disorders resulting in shoulder dysfunction, including subluxation, dislocation, and symptomatic laxity.1Instability Melbourne Instability Shoulder Score MISS PHT 1310 F. Piotte Modified Schober Test PHT 2311 G. Lavoie Modified Sphygmomanometer MS PHT 1108 F. Piotte Neck Disability Index NDI PHT 2312 G. Lavoie PHT 3313 F. Piotte Neck Pain and Disability Scale NPAD PHT 3313, 2312 FP, GL Numeric Pain Rating Scale NPRS PHT 3318 M. Pilon The degree of recurrent instability is related to the patient’s age and sport or activity level. The overall function of the shoulder was assessed by the Constant score, Rowe score, Walch-Duplay score, Western Ontario shoulder instability index (WOSI) and the Melbourne instability shoulder score (MISS) [9, 21, 29, 38, 40]. At 24 with the shoulder may be a cause of pain, weakness, instability, or a combination of these symptoms. In order to improve the assessment of shoulder instability surgery outcomes, the SPORTS score was tested in a cohort of athletes. Patients were assigned to no change and minimal change groups by a 15-item with a score ≥4 (6.3% vs 26.0%, p<0.0001). The Melbourne Shoulder Score Name_____ Date_____ Date of Birth_____ Hand Dominance (please circle) Right Left Which shoulder is/was problematic (please circle) Right Left Both if both, please duplicate the form and fill in one for each shoulder. The patient self-assessment (pASES) includes 6 pain items and 10 functional items that are shoulder specific (Angst, 2008). Participants attended 12 weekly physiotherapy sessions for exercise prescription. Download Full PDF Package. Two joints facilitate shoulder movement. Clinical evaluation was performed by a single surgeon who was not the operating surgeon. Western Ontario Shoulder Instability Index. The SRQ, MISS, WOSI, OIS, and American Shoulder and Elbow Surgeons score have all been shown to be largely responsive. Hip, Knee, Elbow, Shoulder, Shoulder instability, MOXFQ ankle score and Oxford Children’s Ankle score You can apply for a license by filling in the on line request on this link: for recurrent, anteroinferior shoulder instability [3-9]. Methods: The study enrolled 198 patients who underwent an arthroscopic stabilization procedure for an-terior shoulder instability. The final result is converted to a value between 0 and 100. The Oxford Shoulder Instability Score (OSIS) OFFICIAL COUNTRY LANGUAGE BEST AVAILABLE COUNTRY LANGUAGE. The MISS is a self-administered tool, with a total of 100 points, divided into four categories that assess pain, instability, function and occupational and sporting demands. Score 30 to 39. Oxford Shoulder Score. It was originally validated against the Rowe and Constant scores, … AJSM 26(6):764-772,1998. bility Index (WOSI)10 and the Melbourne Instability Shoul-der Score (MISS).25 Surgical procedures for shoulder instability provide reliable outcomes for patients, and typ-ically the improvement in PROM scores after treatment is clinically significant.1,9,12 It is feasible that this patient group could demonstrate accurate recall considering their The postoperative results were evaluated after a mean of one and five years following intervention using the Constant score [22], the Rowe score [23] and the DASH (disability of the arm, shoulder and hand) score [24]. Items were included from the Constant Score, UCLA Shoulder Rating Scale, and the American Shoulder and Elbow Surgeons Standardized Shoulder Form (ASES). 4 The overall sex- and age-adjusted incidence is 4.6 per 100 000 person-years. (Murley) Score (CS), Simple Shoulder Test (SST), Oxford Shoulder Score (OSS), Shoulder Disability Questionnaire (SDQ), and Western Ontario Shoulder Instability Index (WOSI) FELIX ANGST, 1 HANS-KASPAR SCHWYZER, 2 ANDRE´ AESCHLIMANN, 3 BEAT R. SIMMEN, 2 AND An impaction fracture of the anteroinferior aspect of the humeral head (called a reverse Hill-Sachs (RHS) fracture) is always present in case of chronic locked posterior dislocation. Methods:: In a single-group study design, 43 participants (16 male, 27 female; mean age, 19.8 years, standard deviation, 4.9 years) diagnosed with MDI undertook a 12-week exercise program. in to assess treatment for shoulder instability. The Oxford Shoulder Instability Score (OSIS) is a disease-specific PROM developed by Dawson et al. for the Rowe score and the Western Ontario Shoulder Instability Index (WOSI) score after arthroscopic repair of anterior shoulder instability. The instability shoulder index score The Instability Shoulder Index Score (ISIS) was developed to predict the success of arthroscopic Bankart repair. In a single-group study design, 43 participants (16 male, 27 female; mean age, 19.8 years, standard deviation, 4.9 years) diagnosed with MDI undertook a 12-week exercise program. The Oxford Shoulder Score (OSS) is a validated patient-reported outcome measure (PROM) whose use has seen an increase over the past few years. Melbourne Instability Shoulder Score. Full text versions of 43 questionnaires with a total of The pASES form has 3 sections: pain, instability, ADLs (Goldhahn, 2008). Score 40 to 48. Subjective Shoulder Value. Results: Shoulder dislocation is more prevalent in younger age group <30 years, more in muscular individuals. Short Form - 36. The acromioclavicular (AC) joint can be a frequent but under-diagnosed source of shoulder pain. Shoulder Instability: The Western Ontario Shoulder Instability Index. Results. Surgical management is required and decided on the delay between the trauma and the diagnosis and the importance of the RHS (in percentage). METHODS: Forty-eight patients, who underwent arthroscopic surgery for anterior shoulder instability, were evaluated using the WOSI and the Walch-Duplay score at 42.7 months' follow-up. We hypothesised that this lateralization may increase the rate of scapular stress fractures. 37 Full PDFs related to this paper. No randomized controlled trial (RCT) has been published comparing the effect of 2 rehabilitation programs for MDI.53 The primary aim of this RCT was to compare the effective-ness of the Rockwood Instability program and the Watson Primary outcomes were the Melbourne Instability Shoulder Score (MISS) and the Western Ontario Shoulder Index (WOSI). Wilk ‐Rehabilitation of Shoulder Instability 2017 6 Shoulder Instability Introduction ~ 10% of all players at NFL Combine had shoulder instability Brophy et al: MSSE ’07 4th most common procedure seen on FB players at NFL Combine Brophy et al: MSSE ’07 • College players- 2 nd most common shoulder injury in FB players (overall Subjective Shoulder Value. Range of Motion The SANE index: is a single question, "how would you rate your shoulder today as a percentage of. Secondary outcomes include scapular coordinates, scapular upward rotation angles, muscle strength, symptomatic onset, limiting factor and angle of limiting factor in abduction range, incidence of complete glenohumeral joint dislocation, global rating of change, satisfaction scores, the Orebro 2. These two scores had never been compared. Shoulder is the most commonly used joint during batting and bowling, hence, it is more prone to injuries during bowling. Functional outcomes were measured using Constant Scores, American Shoulder and Elbow Surgeons Score, Western Ontario Shoulder Instability Index, Melbourne Instability Shoulder Scale, and Rowe. The retropulsion test is widely regarded as the gold standard to evaluate postural instability, and is therefore a key component of the neurological examination in PD. The test is positive when there is a sulcus of more than 2 cm between the acromion and caput humerus. Tzannes and Murell also evaluate this test as being completely reliable (p<0,0001). Nakagawa et al report a specificity of 0.93. Shoulder Pain and Disability Index. Shoulder instability; Kirkley (1998) The 21 items of the WOSI were generated following a review of the literature regarding shoulder instability and related fields. Western Ontario Shoulder Instability Index. 0820 3.2An Improved Version of the Melbourne Instability Shoulder Score Sarah Warby 0830 3.3Risk Factors for Shoulder Re-Dislocation after Arthroscopic Bankart Repair Edwin Tan 0840 3.4 Predicting Recurrent Instability Following a First-Time Traumatic Anterior Shoulder Dislocation: A Multivariate Model Margie Olds Surgical management is required and decided on the delay between the trauma and the diagnosis and the … (Constant Score + Simple Shoulder Value + Work & Sports) Reading shoulder unit patient questionnaire (for Remote patients) Walch-Duplay Score for shoulder Instability. inferior shoulder instability and had been followed up for a mean period of 21.3 months were reviewed. Shoulder assessment tests. http://www.abs-science.comhttp://www.chroniclesofstrength.com Shoulder Pain and Disability Index. The test-retest reliability of the MISS was found to be 0.98 (interclass correlation … At 12 weeks participants in the Watson MDI program had significantly greater improvements on the WOSI. Developed in 1988, specifically for use in shoulder instability, the Western Ontario Shoulder Instability index (WOSI) is a validated PRO measure. Bony increased-offset reverse shoulder arthroplasty (BIO-RSA) may address issues such as inferior scapular notching, prosthetic instability and limited postoperative shoulder rotation; all of which have been reported with the standard RSA and attributed to the medialized design. Postoperative injured shoulder: mean score 91.9 (64–100), uninjured shoulder: mean score 93.1 (72–100) After surgery: 30.8 (12–35) for the injured and 32.3 (1–35) for the uninjured shoulder After surgery: mean score 89.1 (36–100) After surgery: VAS: mean score 8.1 (3–10); SST score: mean score 11.5 (7–12) Mulier et al. Patients with Ehlers-Danlos syndrome (EDS) present many musculoskeletal disorders. These tools are used to subjectively evaluate handicap, function, quality of life and/or pain and to objectively assess joint mobility [13,14,26]. This review was performed to identify the scores most commonly used and to … Primary outcome measures were the Melbourne Instability Shoulder Score, Western Ontario Shoulder Instability Index, and Oxford Shoulder Instability Score. Objective —To develop and test a questionnaire based instrument that would serve as an index of severity of Achilles tendinopathy. Excellent. J. ALLAIN, D. GOUTALLIER and C. GLORION € € Anterior Instability of the Shoulder Long-Term Results of the Latarjet Procedure for the Treatment of Oxford Shoulder Score. The Oxford Shoulder Instability Score (OSIS) The Oxford Shoulder Instability Score (OSIS) is a short, 12-item, condition-specific, patient reported outcome (PRO) measure developed and validated for measuring surgical and non-surgical therapeutic outcomes of patients presenting with unidirectional or multi-directional instability of the shoulder. Instability of the shoulder has symptoms that are often intermittent and characterized less by pain than by the anticipation of problems arising in association with certain activities [1]. normal (0% to 100% scale with 100% being normal)?”. With the patient supine, position the shoulder in 90 degrees abduction and zero degrees internal rotation. Scoring instructions . Selection criteria Eligible studies were those that compared the effectiveness of arthroscopic versus open surgical stabilisation for the management of traumatic anterior glenohumeral instability, which had more than 2 years of follow up and used recurrent instability and a functional shoulder questionnaire as primary outcomes. shoulder instability, information is lacking with regard to what constitutes a relevant change from baseline scores. The Shoulder Rating Questionnaire (SRQ), Melbourne Instability Shoulder Score (MISS), Western Ontario Shoulder Instability Index (WOSI), Oxford Instability Score (OIS), and Simple Shoulder … Posterior shoulder dislocation is rare and often represents a diagnostic and therapeutic challenge. A short summary of this paper. Detects chronic anterior dislocation of the glenohumeral joint. Walch-Duplay Score. Studies report recurrence rates from 65-95% for patients … Scores range from 0 to 10, with higher scores predicting a higher risk of recurrence after stabilization. (1999) Link. Raise and lower the arm (as if emptying a can! Importance The Instability Severity Index (ISI) score was developed to evaluate a patient’s risk of recurrent shoulder instability following arthroscopic Bankart repair. Conclusions and relevance The ISI score as constructed by Balg and Boileau may have clinical utility to help predict recurrent anterior shoulder instability SANE Score. The following can be used in the shoulder: Empty can (tinny) test: Hold your arm out straight in front of you with the thumb facing downwards. Melbourne Instability Shoulder Score and Western Ontario Shoulder Index. Royal Berkshire Hospital Reading shoulder unit Questionnaire. Instability Index (WOSI), the Shoulder Instability Question-naire (SIQ) and the Melbourne Instability Shoulder Scale (MISS) [13,14,26]. Ultrasound can identify the structures which have been damaged as a result of shoulder injury and whether surgical intervention is necessary. OXFORD UNIVERSITY INNOVATION UNIVERSITY OF OXFORD Clinical Outcomes . head following a traumatic posterior shoulder dislocation. It’s a shoulder-specific instrument designed to assess the outcome of all shoulder surgeries (with the exception of instability surgery). The correlation between these two scores was investigated. been validated for various shoulder disabilities, such as instability. Twenty-two patients were recruited into a reliability study of the MISS questionnaire. shoulder scores. The Melbourne Instability Shoulder Scale. ADLEIR Score. There was a positive co relation between period of immobilisation post dislocation and further recurrences. Secondary outcomes were Oxford Instability Shoulder Score, change in main symptoms, EuroQol (EQ-5D and EQ-VAS), patient satisfaction and complications. The authors present a chronic locked posterior shoulder dislocation in a 32-year-old ac… The total score for the MISS can range between 0 and 100 points (where 0 represents no deficit and 100 the worst). Posterior shoulder dislocation is rare and often represents a diagnostic and therapeutic challenge. Shoulder Score [18], the Subject-ive Shoulder Value (SSV) [19] and Western Ontario Good. The purpose of this case report was to describe the effectiveness of a scapular motor control program for a patient with multidirectional severe shoulder instability due to EDS, with 6-month follow-up. While patients with an ISI score of >6 were originally recommended to undergo an open procedure (ie, Latarjet) to minimise the risk of recurrence, recent literature has called into question the utility of the ISI score. Methods —Item generation, item reduction, item scaling, and pretesting were used to develop a questionnaire to assess the severity of Achilles tendinopathy. Reference for Score: The assessment of shoulder instability THE DEVELOPMENT AND VALIDATION OF A QUESTIONNAIRE Dawson J, Fitzpatrick R, Carr A, JBJS B, 81-B (3): 420. Following the adoption of arthroscopic soft tissue shoulder reconstruction as the standard of care for antero-inferior instability, it became evident that there was a rate of failure for this operation, with recurrence of instability. Author: Roksana Bugaj Created Date: You can apply for a license by filling in … The Oxford Shoulder Instability Score (OSIS) is a short, 12-item, condition-specific, patient reported outcome (PRO) measure developed and validated for measuring surgical and non-surgical therapeutic outcomes of patients presenting with unidirectional or multi-directional instability of the shoulder. both shoulder joints: one repetition maximum (1RM) bench press, 1RM shoulder press, internal rotational (IR), external rotational (ER) isometric muscle strength, and abductor (ABD) isometric muscle strength. Greenwich, CT and New York, NY (PRWEB) January 14, 2010 A recent study conducted by nationally prominent orthopaedic surgeon and sports medicine expert Kevin D. Plancher, MD, MS, FACS, FAAOS, found that patients with shoulder instability who have dislocated their shoulder who were assessed with the Melbourne Instability Shoulder Score (MISS) or Western Ontario Shoulder Instability … Bäst är att alltid skriva ut formuläret från pdf-fil vilket minskar risken att dator ... scoring algorithm is hereby granted to the holder of this tool for his/her personal use. Melbourne Instability Shoulder Score. The acromioclavicular (AC) joint is located between the acromion (part of the scapula that forms the highest point of the shoulder) and the clavicle. Correlations between the Western Ontario Shoulder Instability Index (WOSI), the Melbourne Instability Shoulder Score (MISS), and the L’Insalata Shoulder Questionnaire (L’Insalata) were assessed. With respect to the Melbourne Instability Shoulder Score and Subjective Shoulder Value, the groups achieved 89 vs. 93 points or 91% vs. 90% (p>0.05), respectively. Thirty‐two cases were enrolled (mean age 27.0 years). PURPOSE athletes affected by shoulder instability cannot be judged solely according to the criteria used for non-athletes. Development of a shoulder pain and ... valid region-specific measure for the shoulder. Licenses apply to the Oxford Hip, Knee, Elbow, Shoulder, Shoulder instability, MOXFQ ankle score and Oxford Children’s Ankle score . The Rowe score for instability(37) is a 3 item score with 4 choices each, measuring shoulder function, stability and motion. Outcomes were assessed at baseline and 6, 12, and 24 weeks after randomization. Shoulder stabilityrefers to the ability to contract (pull together) the muscles on either side of the shoulder joint ... Melbourne 2005 ERC: 033256 Shoulder stability and control Sheet F Occupational Therapy –Kids health information. Keep the elbow flexed 90 degrees. Shoulder function was evaluated by clinical examination and validated shoulder scales: Western Ontario Shoulder Stability Index (WOSI), Melbourne Instability Shoulder Score (MISS) and l'Insalata Shoulder Questionnaire. Background. Pevny studied 125 patients with shoulder dislocation over the age of 40 and found that while only 4% of these patients had recurrent instability, 35% of For every body part, there are a number of tests which help the practitioner to confirm a suspected injury. Oxford Shoulder Instability Score. Shoulder Pain and Disability Index (SPADI) Source: Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Descriptive common functional scores were recorded and qualified as good: Western Ontario Shoulder Instability Index (WOSI) 18.3%, Oxford Shoulder Score (OSS) 34, American Shoulder Elbow Surgeon (ASES) 63.3, and Melbourne Instability Shoulder Scale (MISS) 82%. SANE Score. 1–3 Young active men aged between 14 and 19 years are most commonly affected with an incidence of 32.8 per 100 000 person-years. Place one hand on the mid-forearm and your other hand on … ). Forward elevation, external rotation at side and 90° abduction and internal rotation range of motion (ROM) were measured. Results There were no significant between-group Melbourne Arm Clinic consists of world class orthopaedic surgeons that specialise in shoulder, elbow, wrist, and hand surgery located throughout Victoria. More the dislocation frequencies, lesser was the Rowe functional score. Indicate which is which Right Left A systematic review of patient-reported outcome measures used in shoulder instability research Authors: Whittle, J. H., Peters, S. E., Manzanero, S., and Duke, P. F. Abstract: BACKGROUND: Shoulder instability is extremely common, with various outcome scores used to assess its progression after treatment. This review summarizes the process of proper development and testing of the scoring systems, discusses their role in clinical research with respect to shoulder instability, and explains the dichotomy of postoperative recurrence of instability and high shoulder scores.

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