Constant Shoulder Score

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Other name: The Constant-Murley score


Originally published in 1987 in Clinical Orthopaedics and Related Research and revised in 2008 in the Journal of Shoulder and Elbow Surgery, the Constant-Murley Score was designed to assess the functional state of a normal, a diseased, or a treated shoulder. It has been used for assessing patients presenting with rotator cuff disease and fractures as well as has been utilized in the field of shoulder arthroplasty. It has not been suggested for use with shoulder instability.

The Constant-Murley score contains both physician-completed and patient-reported portions. The four domains include pain (15 possible points), activities of daily living (20 possible points), mobility (40 possible points), and strength (25 possible points). Scores range from 0 points (most disability) to 100 points (least disability).

Use the following EVALUATION FORM to evaluate your patient and PRINT THE FORM when the evaluation is completed.


Original Literature:

  • Constant, C. R., and A. H. Murley. “A clinical method of functional assessment of the shoulder.” Clinical orthopaedics and related research 214 (1987): 160-164.
  • Constant, Christopher R., et al. “A review of the Constant score: modifications and guidelines for its use.” Journal of Shoulder and Elbow Surgery 17.2 (2008): 355-361.

Additional Literature:

  • Razmjou, Helen, et al. “Convergent validity of the Constant-Murley outcome measure in patients with rotator cuff disease.” Physiotherapy Canada (2008).
  • Angst, Felix, et al. “Measures of adult shoulder function: Disabilities of the arm, shoulder, and hand questionnaire (DASH) and its short version (QuickDASH), shoulder pain and disability index (SPADI), American shoulder and elbow surgeons (ASES) society standardized shoulder assessment form, constant (Murley) score (CS), simple shoulder test (SST), oxford shoulder score (OSS), shoulder disability questionnaire (SDQ), and Western Ontario shoulder instability index (WOSI).” Arthritis care & research 63.S11 (2011).

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