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Mayo Elbow Score - Orthopaedic Scores http://www.orthopaedicscore.com/scorepages/mayo_elbow.html[3/8/2012 4:01:27 AM] www.orthopaedicscores.com Date of completion March 8, 2012 Mayo Elbow Performance Score Clinician's name (or ref) Patient's name (or ref) Please answer the following questions. Section 1 - Pain Intensity None Mild Moderate Severe Section 2 - Motion Arc of motion greater than 100 degrees Arc of motion between 50 and 100 degrees Arc of motion less than 50 degrees Section 3 - Stability Stable Moderate instability Grossly Unstable Section 4 - Function (Tick as many as able) Can comb hair Can eat Can perform hygiene Can don shirt Can don shoe The Mayo Elbow Score is To save this data please print or Nb: This page cannot be saved due to patient data protection so please print the filled in form before closing the window. Interpreting the Mayo Elbow Performance Score Score greater than 90 Excellent Score 75-89 Good Score 60-74 Fair Score below 60 Poor References: Dawson,Jill; Fitzpatrick, Ray;Carr, Andrew;Murray,David. Questionnaire on the perceptions of patients about total hip replacement. British Journal of Bone and Joint Surgery. March 1996; 78-B(2): 185-190. Web Design London - James Blake Internet

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Elbow Mayo Scoring Sheet for measure elbow range of motion

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Page 1: Mayo Elbow Score - Orthopaedic Scores

Mayo Elbow Score - Orthopaedic Scores

http://www.orthopaedicscore.com/scorepages/mayo_elbow.html[3/8/2012 4:01:27 AM]

www.orthopaedicscores.com

Date ofcompletion

March 8,2012

Mayo Elbow Performance Score

Clinician's name (or ref) Patient's name (or ref)

Please answer the following questions.

Section 1 - Pain IntensityNone

Mild

Moderate

Severe

Section 2 - MotionArc of motion greater than 100 degrees

Arc of motion between 50 and 100 degrees

Arc of motion less than 50 degrees

Section 3 - StabilityStable

Moderate instability

Grossly Unstable

Section 4 - Function (Tick as many as able)Can comb hair

Can eat

Can perform hygiene

Can don shirt

Can don shoe

The Mayo Elbow Score is

To save this data please print or Nb: This page cannot be saved due to patient data protection so please print the filled in form before closing the window.

Interpreting the Mayo Elbow Performance ScoreScore greater

than 90 Excellent Score 75-89 Good Score 60-74 FairScore below

60 Poor

References: Dawson,Jill; Fitzpatrick, Ray;Carr, Andrew;Murray,David. Questionnaire on the perceptions of patients about total hipreplacement. British Journal of Bone and Joint Surgery. March 1996; 78-B(2): 185-190.

Web Design London - James Blake Internet

http://www.jamesblakeinternet.com/
Page 2: Mayo Elbow Score - Orthopaedic Scores

Mayo Elbow Score - Orthopaedic Scores

http://www.orthopaedicscore.com/scorepages/mayo_elbow.html[3/8/2012 4:01:27 AM]


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