Shoulder Surgeons Prattville AL

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Steven Allen Barrington, MD
(334) 274-9000
PO Box 235003
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Vanderbilt Univ Sch Of Med, Nashville Tn 37232
Graduation Year: 1985

Data Provided By:
Christopher P Piller, MD
(334) 953-7825
Bldg 760 300 S Twinning St
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1994

Data Provided By:
Timothy A Holt, MD
(334) 396-1886
PO Box 231509
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Meharry Med Coll Sch Of Med, Nashville Tn 37208
Graduation Year: 1985

Data Provided By:
James R Ramey III, MD
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1967

Data Provided By:
James R Ramey, MD
(334) 280-3456
7859 Hobbie Rd
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1967

Data Provided By:
Donald Davis Thornbury, MD
(334) 274-9000
PO Box 235003
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1978
Hospital
Hospital: Jackson Hosp & Clinic, Montgomery, Al
Group Practice: Alabama Orthopaedic Specs

Data Provided By:
Charles Wayne Hartzog Jr, MD
(334) 274-9000
PO Box 235003
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1991

Data Provided By:
Thomas George Wells, MD
(334) 263-3944
PO Box 235003
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1969
Hospital
Hospital: Jackson Hosp & Clinic, Montgomery, Al
Group Practice: Alabama Orthopaedic Specs

Data Provided By:
Stephen William Samelson, MD
(334) 613-9000
PO Box 250450
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1992

Data Provided By:
Charles Wayne Hartzog
(334) 274-9000
4294 Lomac St
Montgomery, AL
Specialty
Orthopedic Surgery, Sports Medicine

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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