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HSS Score

I Pain (30 points)
A
Please select
A
No pain in the joint when bending the elbow
Mild pain in the joint when bending the elbow
Moderate pain in the joint when bending the elbow
Severe pain in the joint when bending the elbow
B
Please select
B
No pain at rest
Mild pain at rest
Moderate pain at rest
Severe pain at rest
II Function (20 points)
A
Please select
A
Can do elbow flexion exercises for 30 minutes
Can do elbow flexion exercises for 15 minutes
Can do elbow flexion exercises for 5 minutes
Cannot do elbow flexion exercises
B
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B
No limitation in elbow joint movement
Limited during recreation
Can do housework
Self-care in daily life
III Muscle Strength (10 points)
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III Muscle Strength (10 points)
Can lift 2-3 kg objects to 90 degrees
Can lift 0-9 kg objects to 90 degrees
No weight-bearing resistance
Cannot bend the elbow
IV Flexion Contracture (6 points)
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IV Flexion Contracture (6 points)
＜15 degrees
15 - 45 degrees
45 - 90 degrees
＞ 90 degrees
V Extension Contracture (6 points)
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V Extension Contracture (6 points)
＜ 135 degrees
＜ 125 degrees
＜ 100 degrees
＜ 80 degrees
VI Pronation (4 points)
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VI Pronation (4 points)
＞ 90 degrees
30 - 60 degrees
15 - 30 degrees
＜ 0 degrees
VII Supination (4 points)
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VII Supination (4 points)
＞ 60 degrees
45 - 60 degrees
15 - 45 degrees
＜ 0 degrees
Score:

Result Interpretation

Excellent: 90-100 points; Good: 80-89 points; Fair: 70-79 points; Poor: 60-69 points; Worst: less than 60 points

HSS, Hospital for Special Surgery.

References

Research Paper 1. Inglis AE, Pellicci PM. Total elbow replacement. J Bone Joint Surg Am. 1980;62(8):1252-8. Research Paper 2. Figgie MP, et al. Total elbow arthroplasty for complete ankylosis of the elbow. J Bone Joint Surg Am. 1989;71(4):513-20.
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