A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure
Background Patients with acromioclavicular joint (ACJ) and sternoclavicular joint (SCJ) injuries and with clavicle fractures are typically younger and more active than those with other shoulder pathologies. We developed the Nottingham Clavicle Score (NCS) specifically for this group of patients t...
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| Format: | Article |
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Elsevier
2017
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| Online Access: | https://eprints.nottingham.ac.uk/42614/ |
| _version_ | 1848796527437283328 |
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| author | Charles, Edmund R. Kumar, Vinod Blacknall, James Edwards, Kimberley L. Geoghegan, John M. Manning, Paul A. Wallace, W. Angus |
| author_facet | Charles, Edmund R. Kumar, Vinod Blacknall, James Edwards, Kimberley L. Geoghegan, John M. Manning, Paul A. Wallace, W. Angus |
| author_sort | Charles, Edmund R. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Background
Patients with acromioclavicular joint (ACJ) and sternoclavicular joint (SCJ) injuries and with clavicle fractures are typically younger and more active than those with other shoulder pathologies. We developed the Nottingham Clavicle Score (NCS) specifically for this group of patients to improve sensitivity for assessing the outcomes of treatment of these conditions compared with the more commonly used Constant Score (CS) and Oxford Shoulder Score (OSS).
Materials and methods
This was a cohort study in which the preoperative and 6-month postoperative NCS evaluations of outcome in 90 patients were compared with the CS, OSS, Imatani Score (IS), and the EQ-5D scores. Reliability was assessed using the Cronbach α. Reproducibility of the NCS was assessed using the test/retest method. Effect sizes were calculated for each score to assess sensitivity to change. Validity was examined by correlations between the NCS and the CS, OSS, IS, and EQ-5D scores obtained preoperatively and postoperatively.
Results
Significant correlations were demonstrated preoperatively with the OSS (P = .025) and all subcategories of the EQ-5D (P < .05) and postoperatively with the OSS (P < .001), CS (P = .008), IS (P < .001), and all subcategories of EQ-5D (P < .02). The NCS had the largest effect size (1.92) of the compared scores. Internal consistency was excellent (Cronbach α = 0.87).
Conclusion
The NCS has been proven to be a valid, reliable and sensitive outcome measure that accurately measures the level of function and disability in the ACJ, SCJ and clavicle after traumatic injury and in degenerative disease. |
| first_indexed | 2025-11-14T19:49:24Z |
| format | Article |
| id | nottingham-42614 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:49:24Z |
| publishDate | 2017 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-426142024-08-15T15:24:40Z https://eprints.nottingham.ac.uk/42614/ A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure Charles, Edmund R. Kumar, Vinod Blacknall, James Edwards, Kimberley L. Geoghegan, John M. Manning, Paul A. Wallace, W. Angus Background Patients with acromioclavicular joint (ACJ) and sternoclavicular joint (SCJ) injuries and with clavicle fractures are typically younger and more active than those with other shoulder pathologies. We developed the Nottingham Clavicle Score (NCS) specifically for this group of patients to improve sensitivity for assessing the outcomes of treatment of these conditions compared with the more commonly used Constant Score (CS) and Oxford Shoulder Score (OSS). Materials and methods This was a cohort study in which the preoperative and 6-month postoperative NCS evaluations of outcome in 90 patients were compared with the CS, OSS, Imatani Score (IS), and the EQ-5D scores. Reliability was assessed using the Cronbach α. Reproducibility of the NCS was assessed using the test/retest method. Effect sizes were calculated for each score to assess sensitivity to change. Validity was examined by correlations between the NCS and the CS, OSS, IS, and EQ-5D scores obtained preoperatively and postoperatively. Results Significant correlations were demonstrated preoperatively with the OSS (P = .025) and all subcategories of the EQ-5D (P < .05) and postoperatively with the OSS (P < .001), CS (P = .008), IS (P < .001), and all subcategories of EQ-5D (P < .02). The NCS had the largest effect size (1.92) of the compared scores. Internal consistency was excellent (Cronbach α = 0.87). Conclusion The NCS has been proven to be a valid, reliable and sensitive outcome measure that accurately measures the level of function and disability in the ACJ, SCJ and clavicle after traumatic injury and in degenerative disease. Elsevier 2017-10-31 Article PeerReviewed Charles, Edmund R., Kumar, Vinod, Blacknall, James, Edwards, Kimberley L., Geoghegan, John M., Manning, Paul A. and Wallace, W. Angus (2017) A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure. Journal of Shoulder and Elbow Surgery, 26 (10). pp. 1732-1739. ISSN 1532-6500 Clavicle Acromioclavicular joint Sternoclavicular joint Patient reported outcome measure ACJ dislocation SCJ dislocation http://www.sciencedirect.com/science/article/pii/S1058274617302161 doi:10.1016/j.jse.2017.03.036 doi:10.1016/j.jse.2017.03.036 |
| spellingShingle | Clavicle Acromioclavicular joint Sternoclavicular joint Patient reported outcome measure ACJ dislocation SCJ dislocation Charles, Edmund R. Kumar, Vinod Blacknall, James Edwards, Kimberley L. Geoghegan, John M. Manning, Paul A. Wallace, W. Angus A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure |
| title | A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure |
| title_full | A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure |
| title_fullStr | A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure |
| title_full_unstemmed | A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure |
| title_short | A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure |
| title_sort | validation of the nottingham clavicle score: a clavicle, acromioclavicular joint and sternoclavicular joint–specific patient-reported outcome measure |
| topic | Clavicle Acromioclavicular joint Sternoclavicular joint Patient reported outcome measure ACJ dislocation SCJ dislocation |
| url | https://eprints.nottingham.ac.uk/42614/ https://eprints.nottingham.ac.uk/42614/ https://eprints.nottingham.ac.uk/42614/ |