Publication:
A novel shoulder disability staging system for scapulothoracic arthrodesis in patients with facioscapulohumeral dystrophy

dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorAslanger, Ayça Dilruba
dc.contributor.kuauthorBirsel, Olgar
dc.contributor.kuauthorÇakmak, Özgür Öztop
dc.contributor.kuauthorDemirhan, Mehmet
dc.contributor.kuauthorEraslan, Serpil
dc.contributor.kuauthorEren, İlker
dc.contributor.kuauthorKayserili, Hülya
dc.contributor.kuauthorOflazer, Piraye
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T23:42:17Z
dc.date.issued2020
dc.description.abstractBackground: Scapulothoracic arthrodesis (STA) is a well-established surgical technique to provide scapular stabilization in patients with facioscapulohumeral dystrophy (FSHD). There is no staging or scoring systems available to guide surgical decision. The aim of this study was to develop a staging system to evaluate the shoulder disability in patients with FSHD to guide surgical decision making and assess its reliability among surgeons. Methods: Fifty-seven shoulders of 29 patients (15 male, 14 female) with an average age of 34.5 years (13–73) were included. Six stages of the disease were defined to create a system consisting of shoulder elevation, deltoid function and scapular winging. Patients were assessed by two independent orthopaedic surgeons who were blind to each other. Statistical analyses included mean and standard deviation for descriptive variables, Pearson's correlation and Cohen's Kappa for inter and intra observer agreement. Results: Measurement of elevation showed excellent correlation in both inter- and intraobserver assessment. There was substantial agreement on deltoid function and moderate agreement on scapular winging. Decision on stage showed excellent agreement on inter observer and substantial agreement on intra observer assessment. Surgical decision using the stage showed excellent agreement on both inter and intra observer assessment. Conclusion: This novel staging system has an excellent inter observer agreement on FSHD patients’ shoulder disability. This would provide surgeons a beneficial tool to define patient groups that would have negatively or positively affected from STA. © 2020 Elsevier Masson SAS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.indexedbyWOS
dc.description.issue4
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume106
dc.identifier.doi10.1016/j.rcot.2020.03.013
dc.identifier.issn1877-0517
dc.identifier.scopus2-s2.0-85085314191
dc.identifier.urihttps://doi.org/10.1016/j.rcot.2020.03.013
dc.identifier.urihttps://hdl.handle.net/20.500.14288/13281
dc.identifier.wos539665700017
dc.keywordsFacioscapulohumeral dystrophy
dc.keywordsMuscular dystrophy
dc.keywordsScapulothoracic arthrodesis
dc.keywordsStaging adolescent
dc.keywordsAdult
dc.keywordsAged
dc.keywordsClinical decision making
dc.keywordsDeltoid muscle
dc.keywordsFacioscapulohumeral muscular dystrophy
dc.keywordsFemale
dc.keywordsHuman
dc.keywordsInterrater reliability
dc.keywordsMale
dc.keywordsScapula
dc.keywordsScoring system
dc.keywordsShoulder arthrodesis
dc.keywordsShoulder disability staging system
dc.keywordsSurgical technique
dc.language.isoeng
dc.language.isofra
dc.publisherElsevier Masson SAS
dc.relation.ispartofRevue de Chirurgie Orthopedique et Traumatologique
dc.subjectScapula
dc.subjectThoracic nerves
dc.subjectOsteochondroma
dc.titleA novel shoulder disability staging system for scapulothoracic arthrodesis in patients with facioscapulohumeral dystrophy
dc.title.alternativeUn nouveau système d’évaluation du handicap de l’épaule après l'arthrodèse scapulo-thoracique chez les patients souffrant de dystrophie facio-scapulo-humérale
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorEren, İlker
local.contributor.kuauthorBirsel, Olgar
local.contributor.kuauthorÇakmak, Özgür Öztop
local.contributor.kuauthorAslanger, Ayça Dilruba
local.contributor.kuauthorEraslan, Serpil
local.contributor.kuauthorKayserili, Hülya
local.contributor.kuauthorOflazer, Piraye
local.contributor.kuauthorDemirhan, Mehmet
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
local.publication.orgunit2School of Medicine
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