Shoulder Surgeons Boynton Beach FL

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Kenneth Garrod, MD
(561) 241-4758
1905 Clint Moore Rd
Boca Raton, FL
Business
South Florida Hand & Orthopedics
Specialties
Orthopedics

Data Provided By:
Richard Salvatore Masella, DDS
(561) 262-7339
Boynton Beach, FL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Myron Bash, MD
(561) 736-5498
26 Villa Ln
Boynton Beach, FL
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Robert B Zann
(561) 395-2117
2828 S Seacrest Blvd
Boynton Beach, FL
Specialty
Orthopedic Surgery

Data Provided By:
Steven Guthrie Darling, DDS
(561) 737-1980
8200 Jog Rd Ste 203
Boynton Beach, FL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
George Andrew Podray, DDS
(561) 736-8755
3469 W Boynton Beach Blvd Ste 20
Boynton Beach, FL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Myron Bash, MD FACS
(561) 736-5498
26 Villa Ln
Boynton Beach, FL
Gender
Male
Education
Medical School: Jefferson
Graduation Year: 1946

Data Provided By:
Everett L Jung, MD FACS
1303 Asbury Way
Boynton Beach, FL
Gender
Male
Education
Medical School: Washington (st. Louis)
Graduation Year: 1955

Data Provided By:
Job Dorcil
(561) 395-2117
2828 S Seacrest Blvd
Boynton Beach, FL
Specialty
Orthopedic Surgery

Data Provided By:
Eric T Shapiro
(561) 395-2117
2828 S Seacrest Blvd
Boynton Beach, FL
Specialty
Orthopedic Surgery

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Surgeons Recommend Broad Patient Assessment After Surgery for Shoulder

Before and after measurements of pain, motion, strength, and function are a good way to track which patients improve with surgery and rate the level of success or failure for each procedure. But there are over 30 different tests that can be done. All are not equal or reliable. So, to help surgeons decide which test to use and when to use it, this article reviews many of the commonly used before and after outcomes measures.

You may even recognize the names of some of these tests: the American Shoulder and Elbow Surgeons (ASES) shoulder outcome score, the Constant Shoulder Score, Disabilities of the Arm, Shoulder, and Hand (DASH), the Western Ontario Osteoarthritis of the Shoulder Index (WOOS).

The American Shoulder and Elbow Surgeons (ASES) test has been around for the last 15 years. It was developed by a committee with the hope of using it for research. The ASES can be used with all patients no matter what's wrong with the shoulder. And it can be used for patients treated conservatively (nonoperatively) as well as for those who end up having surgery for their shoulder problem.

The ASES assesses pain, instability, and function (activities of daily living or ADLs). The one major disadvantage of this test is the level of difficulty in calculating the score. It is widely used in the U.S. and Europe and can be used for research and for a general idea of how the shoulder is doing.

The Constant score is used to measure before and after results from surgery, but it can be used with nonsurgical cases as well. It does measure pain, activities of daily living (ADLs), shoulder motion, and strength.

But the Constant score test has not been validated for all different kinds of shoulder problems. And there are problems with examiner bias when it comes to measuring strength and motion. So, for now, the authors of this article who reviewed all the tests don't recommend using it until some of these issues have been ironed out.

Everyone agrees that the Disabilities of the Arm, Shoulder, and Hand (DASH) is a good measure of disability for the arm that can stand alone (i.e., other tests aren't needed along with it). It's a questionnaire patients take answering questions about symptoms and physical function.

It can be completed quickly, scored with moderate ease, and used with many different shoulder problems (e.g., arthritis, tendinitis, psoariatic arthritis, rotator cuff problems and repair, shoulder joint replacement). For general assessment and worker's compensation claims, the DASH can't be beat.

And finally, the Western Ontario Osteoarthritis of the Shoulder Index (WOOS) is rated the best for assessing results of total shoulder replacement and treatment for arthritis of the shoulder. The patient answers 19 questions about symptoms (including pain), sport, recreation, work, lifestyle, and emotional function.

This test can be given in a variety of languages including English, Spanish, French, and German. The WOOS can even b...

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