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Date of completion
Oxford Elbow Score    
Clinician's name (or ref) Patient's name (or ref)
 
Please answer the following 12 multiple choice questions.  
During the past 4 weeks......  
1. Have you had any difficulty lifting things in your home, such as putting out the rubbish, because of your elbow problem?   7.Have you been troubled by pain from your elbow at night?
No difficulty   No, not at all
A little bit of difficulty   1 or 2 nights
Moderate difficulty   Some nights
Extreme difficulty   Most nights
Impossible to do   Every night
     
2. Have you had difficulty carrying bags of shopping because of your elbow problem?   8. How often has your elbow pain interfered with your sleeping?
No difficulty   No, not at all
A little bit of difficulty   Occasionally
Moderate difficulty   Some days
Extreme difficulty   Most days
Impossible to do   Every day
     
3. Have you had any difficulty washing yourself all over, because of our elbow problem?   9. How much has your elbow problem interfered with your usual work or everyday activities?
No difficulty   No, not at all
A little bit of difficulty   A little bit
Moderate difficulty   Moderately
Extreme difficulty   Greatly
Impossible to do   Totally
     
4. Have you had any difficulty dressing yourself, because of your elbow problem?   10. Has your elbow problem limited your ability to take part in leisure activities that you enjoy doing?
No difficulty   No, not at all
A little bit of difficulty   Occasionally
Moderate difficulty   Some days
Extreme difficulty   Most days
No, impossible   All of the time
     
5. Have you felt that your elbow problem is "controlling your life"?   11. How would you describe the worst pain you had from your elbow?
No, not at all   No Pain
Occasionally   Mild pain
Some days   Moderate pain
Most days   Severe pain
Every day   Unbearable
     
6. How much has your elbow problem been "on your mind"?   12. How would you describe the pain you usually had from your elbow?
No, not at all   No pain
A little of the time   Mild pain
Some of the time   Moderate pain
Most of the time   Severe pain
All of the time   Unbearable

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The Oxford Elbow Score is:

Interpreting the Oxford Elbow Score

Score 0 to 19
May indicate severe elbow arthritis. It is highly likely that you may well require some form of surgical intervention, contact your family physician for a consult with an Orthopaedic Surgeon.
Score 20 to 29

May indicate moderate to severe elbow arthritis. See your family physician for an assessment and x-ray. Consider a consult with an Orthopaedic Surgeon.

Score 30 to 39

May indicate mild to moderate elbow arthritis. Consider seeing you family physician for an assessment and possible x-ray. You may benefit from non-surgical treatment, such as exercise, weight loss, and /or anti-inflammatory medication

Score 40 to 48

May indicate satisfactory joint function. May not require any formal treatment.

Reference for Score: Dawson, J., Doll, H., Boller, I., Fitzpatrick, R. The development and validation of a patient-reported questionnaire to assess outcomes of elbow surgery. J Bone Joint Surg Br. 2008 Apr; 90-B: 466 - 473. Link

Reference for grading: Website