Hospital for Special Surgery (HSS) Scoring System
Visual HSS Scale
Total HSS Score : 80 / 100 = 80.00%
I. PAIN
No pain at any time (30)
No pain when bending (15)
Mild pain when bending (10)
Moderate pain when bending (5)
Severe pain when bending (0)
No pain at rest (15)
Mild pain at rest (10)
Moderate pain at rest (5)
Severe pain at rest (0)
II. FUNCTION
A
Bending activities for 30 mins. (8)
Bending activities for 15 mins. (6)
Bending activities for 5 mins. (4)
Cannot use elbow (0)
B
Unlimited use of elbow (12)
Limited only for recreation (10)
Household and employment (8)
Independent self-care (6)
Invalid (0)
III. Sagittal Range
0°
140°
0
0
0°
0°
7°
14°
21°
28°
35°
42°
49°
56°
63°
70°
77°
84°
91°
98°
105°
112°
119°
126°
133°
140°
IV. Muscle Strength
Can lift 5 lbs (2.3 kg) to 90° (10)
Can lift 2 lbs. (0.9kg) to 90° (8)
Move through range of motion against gravity (5)
Cannot move through range of motion (0)
V. Flexion contracture
Less than 15 ° (6)
Between 15 and 45 ° (4)
Between 45 and 90 ° (2)
More than 90 ° (0)
VI. Extension contracture
Within 15 ° of 135 ° (6)
Less than 125 ° (4)
Less than 100 ° (2)
Less than 80 ° (0)
VII. Pronation
More than 90 ° (4)
More than 30 to 60 ° (3)
More than 15 to 30 ° (2)
Less than 0 ° (0)
VIII. Supination
More than 60 ° (4)
More than 45 to 60 ° (3)
More than 15 to 45 ° (2)
Less than 0 ° (0)
Bibliographic References (copyright belongs to the author/s of this instrument)
1. Inglis AE, Pellicci PM (1980) Total elbow replacement. J Bone Joint Surg, 62A, 1252
2. Figgie MP, Inglis AE, Mow CS, Figgie HE (1989) Total elbow arthroplasty for complete ankylosis of the elbow. J Bone Joint Surg Am, 71, 513–520.
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