ortho-trauma

Constant-Murley Shoulder Score

Composite shoulder outcome score (Constant 1987). Pain (15) + ADL (20) + Range of motion (40) + Strength (25) = 100 points.

Pain (0 = severe, 15 = none)*

ADL — work / occupation (0–4)*

ADL — recreation / sport (0–4)*

ADL — sleep (0–2)*

ADL — hand position to which can comfortably reach (0–10)*

Forward flexion (0–10)*

Abduction (0–10)*

External rotation (0–10)*

Internal rotation (0–10)*

Strength (kg held in 90° abduction; 1 kg = 2 points, max 25)*

Score interpretation

Poor 0–55

→ Significant disability — orthopaedic referral. MRI to characterise pathology (cuff tear, OA, instability).

Fair 56–70

→ Physiotherapy + analgesia + steroid injection. If no improvement at 3 months, surgical review.

Good 71–85

→ Continue rehabilitation. Reassess at 3–6 months.

Excellent 86–100

→ Functional shoulder; maintain activity.

Interpretation bands for the Constant-Murley. Apply clinical judgement and local guidance.

Curated clinical cross-links plus same-class fallbacks.

Calculators

Pathways

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.