Shoulder Surgeons Kihei HI

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Tetsuto Numata, MD
(808) 871-0778
PO Box 1091
Kihei, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1979
Hospital
Hospital: Winchester Hospital, Winchester, Ma; Hallmark Health -Medford Lawr, Medford, Ma

Data Provided By:
C E Probst, MD
(808) 243-6510
17085 Haleakala Hwy
Kula, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1968

Data Provided By:
Robert S Harvey
(808) 871-8410
53 S Puunene Ave
Kahului, HI
Specialty
Orthopedic Surgery

Data Provided By:
Charles Bedell, DDS
(808) 871-6576
Kahului Ofc Ctr Ste 312 140 Hoohana St
Kahului, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Marvin Mitsuo Tanaka, DDS
(808) 242-9062
1703 Wili Pa Loop Ste 200
Wailuku, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Michael Siaw, MD
(931) 433-5501
1032 S Kihei Rd
Kihei, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1964

Data Provided By:
Peter Conmy, DDS
(808) 873-8199
285 W Kaahumanu Ave Ste 220
Kahului, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Tetsuto Numata
(808) 871-0778
140 Hoohana St
Kahului, HI
Specialty
Orthopedic Surgery

Data Provided By:
John Michael Damerell, DDS
(808) 244-1499
1129 Lower Main St Ste 107
Wailuku, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Darren Egami, MD
Wailuku, HI
Specialty
Orthopaedic Sugeon

Data Provided By:
Data Provided By:

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...

Click here to read the rest of this article from eOrthopod.com