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German Congress of Orthopedic and Trauma Surgery (DKOU 2017)

24.10. - 27.10.2017, Berlin

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Analysis of coherence between mangled extremity severity score (MESS) and disabilities of the arm shoulder and hand (DASH) score in traumatic upper extremity injuries

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  • presenting/speaker Gloria Hohenberger - Universitätsklinik f. Orthopädie und Traumatologie, MedUni Graz, Unfallchirurgie, Graz, Austria
  • Janos Cambiaso-Daniel - Plastische, ästhetische und rekonstruktive Chirurgie , Graz, Austria
  • Peter Konstantiniuk - Klinische Abteilung für Gefäßchirurgie Graz, Graz, Austria
  • Angelika Maria Schwarz - AUVA Unfallkrankenhaus Graz, Graz, Austria
  • Veronika Matzi - Landeskrankenhaus Hochsteiermark , Leoben, Austria
  • Renate Krassnig - Universitätsklinik für Unfallchirurgie Graz, Graz, Austria
  • Nina Hörlesberger - Abteilung für Unfallchirurgie, LKH Judenburg-Knittelfeld, Judenburg, Austria
  • Tina Cohnert - Klinische Abteilung für Gefäßchirurgie Graz, Graz, Austria

Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2017). Berlin, 24.-27.10.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocPO18-991

doi: 10.3205/17dkou707, urn:nbn:de:0183-17dkou7077

Published: October 23, 2017

© 2017 Hohenberger et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives: Upper extremity (UE) vascular injuries represent challenging traumata, demanding rapid diagnostics and intervention in order to reach limb salvage. As an objective criterion for amputation prediction, the Mangled Extremity Severity Score (MESS) was primary designed for severe lower extremity traumata and later extended to UE injuries. For postoperative evaluation, the Disabilities of the Arm Shoulder and Hand (DASH) questionnaire forms a convenient tool.

However, the current literature lacks information about possible relations between the MESS and the DASH questionnaire. Therefore, we aimed to focus on correlations between these two scores.

Methods: Retrospective data analysis included all patients with upper extremity traumata who had been treated surgically including vascular reconstruction at our level-I trauma centre and a cooperating level-III trauma centre between January 2005 and December 2014. The MESS was calculated for each participant by use of medical records and they were recalled for evaluation of the DASH-questionnaire.

Results and Conclusion: Fourteen patients signed informed consent for study participation. Spearman's rank correlation coefficient revealed an almost statistically significant correlation between the total MESS and the DASH score (p = 0.075). Regarding the seven cases with prolonged time of limb ischemia (> 6 hours), the correlation coefficient was 0.86, which was statistically significant (p = 0.013). The Sports/Performing Arts Module of the DASH had a statistically significant correlation with the respective MESS (p = 0.006) including a correlation coefficient of 0.74. MESS with prolonged time of limb ischemia correlates significantly with the DASH questionnaire and so does the Sports/Performing Arts Module of the DASH with the MESS.