Shoulder Surgeons Kalispell MT

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Ned Andrew Wilson, MD
(406) 752-7900
111 Sunnyview Ln Ste A
Kalispell, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1986

Data Provided By:
Stanley Harland Makman, MD
(406) 752-7900
111 Sunnyview Ln
Kalispell, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1988

Data Provided By:
Kim D Stimpson
(406) 752-6784
350 Heritage Way
Kalispell, MT
Specialty
Orthopedic Surgery

Data Provided By:
Michael P Stebbins, DDS
(406) 752-1131
1860 US Highway 93 N
Kalispell, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Thomas Thurston, DDS
(406) 752-3737
75 Claremont St
Kalispell, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ned Andrew Wilson
(406) 752-7900
111 Sunnyview Ln
Kalispell, MT
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Lawrence John Iwersen, MD
(406) 752-7900
111 Sunnyview Ln
Kalispell, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1983
Hospital
Hospital: Kalispell Regional Hospital, Kalispell, Mt; North Valley Hospital, Whitefish, Mt
Group Practice: Flathead Valley Orthopedics Pc

Data Provided By:
Albert David Olszewski, MD
(406) 752-7900
111 Sunnyview Ln Ste A
Kalispell, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1988

Data Provided By:
Parley Kurt Thorderson, MD
(406) 752-6784
350 Heritage Way Ste 1200
Kalispell, MT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1989

Data Provided By:
Bertrand Francis Jones, MD
(406) 752-7900
111 Sunnyview Ln Ste A
Kalispell, MT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Chicago, Pritzker Sch Of Med, Chicago Il 60637
Graduation Year: 1987

Data Provided By:
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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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