The validity of the mangled extremity severity score in the assessment of upper limb injuries

S. Togawa; N. Yamami; H. Nakayama; Y. Mano; K. Ikegami; S. Ozeki

doi:10.1302/0301-620X.87B11.16512

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Upper Limb

The validity of the mangled extremity severity score in the assessment of upper limb injuries

S. Togawa
N. Yamami
H. Nakayama
Y. Mano
K. Ikegami
S. Ozeki

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The validity of the mangled extremity severity score in the assessment of upper limb injuries

Togawa S, Yamami N, Nakayama H, Mano Y, Ikegami K, Ozeki S. The validity of the mangled extremity severity score in the assessment of upper limb injuries. J Bone Joint Surg Br. 2005;87-B(11):1516-1519. doi:10.1302/0301-620X.87B11.16512

Togawa, S., et al. “The validity of the mangled extremity severity score in the assessment of upper limb injuries.” The Journal of Bone & Joint Surgery British Volume, vol. 87-B, no. 11, 2005, pp. 1516-1519., https://doi.org/10.1302/0301-620X.87B11.16512

Togawa, S., Yamami, N., Nakayama, H., Mano, Y., Ikegami, K., & Ozeki, S. (2005). The validity of the mangled extremity severity score in the assessment of upper limb injuries. The Journal of Bone & Joint Surgery British Volume, 87-B(11), 1516-1519. https://doi.org/10.1302/0301-620X.87B11.16512

Togawa, S., Yamami, N., Nakayama, H., Mano, Y., Ikegami, K. and Ozeki, S. (2005) “The validity of the mangled extremity severity score in the assessment of upper limb injuries.” The Journal of Bone & Joint Surgery British Volume, 87-B(11), pp. 1516-1519. Available at: https://doi.org/10.1302/0301-620X.87B11.16512

Togawa, S., N. Yamami, H. Nakayama, Y. Mano, K. Ikegami, and S. Ozeki. “The validity of the mangled extremity severity score in the assessment of upper limb injuries.” The Journal of Bone & Joint Surgery British Volume 87-B, no. 11 (2005): 1516-1519. https://doi.org/10.1302/0301-620X.87B11.16512

Togawa S, Yamami N, Nakayama H, Mano Y, Ikegami K, Ozeki S. The validity of the mangled extremity severity score in the assessment of upper limb injuries. J Bone Joint Surg Br. 2005 Nov 1;87-B(11):1516-1519. https://doi.org/10.1302/0301-620X.87B11.16512

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Abstract

The Mangled Extremity Severity Score (MESS) may be used to decide whether to perform amputation in patients with injuries involving a limb. A score of 7 points or higher indicates the need for amputation. We have treated three patients with a MESS of 7 points or higher, in two of which the injured limb was salvaged. This scoring system was originally devised to assess injuries to the lower limb. However, a MESS of 7 points as a justification for amputation does not appear appropriate when assessing injuries to the major vessels in the upper limb.

Correspondence should be sent to Dr S. Togawa; e-mail: stogawa@muc.biglobe.ne.jp

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Journal

The Journal of Bone & Joint Surgery British Volume

Volume

87-B No.11 | Pages 1516 - 1519

Section

Upper Limb

Published

01 November 2005

DOI

Authors

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S. Togawa

Research Fellow

Department of Hyperbaric Medicine

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N. Yamami

Associate Professor

Graduate School of Health Science, Tokyo Medical and Dental University Hospital Faculty of Medicine, 1-5-45 Yushima Bunkyo-Ku, Tokyo 113-5819, Japan.

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H. Nakayama

Research Fellow

Department of Hyperbaric Medicine

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Y. Mano

Chairman

Department of Hyperbaric Medicine

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K. Ikegami

Professor

Trauma and Critical Care Center

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S. Ozeki

Orthopaedic Surgeon, Associate Professor

Department of Orthopaedics, Koshigaya Hospital, Dokkyo University School of Medicine, 2-1-50 Minami-Koshigaya, Koshigaya-city Saitama 343-8555, Japan.

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