Objective clinician-scored assessment of elbow function.
Evaluating outcomes of elbow arthroplasty, instability repair, or fracture ORIF.
Comprehensive clinical follow-up for complex elbow pathologies.
Clinical Objective
The MEPS combines patient-reported pain with objective clinician-measured range of motion and stability, providing a holistic snapshot of joint performance.
Mechanism
Domains (100 Points Total)
Pain45 Points
Range of Motion20 Points
Stability10 Points
Function (5 items)25 Points
Function Checklist
Combing hair
Feeding
Hygiene
Putting on a shirt
Putting on a shoe
Clinical Edge
Interpretation
90 – 100Excellent
75 – 89Good
60 – 74Fair
< 60Poor
Clinical Pearls
Pain is the most heavily weighted domain, reflecting its importance in patient satisfaction.
Stability is assessed via varus/valgus stress testing.
ROM is scored based on arc (e.g., >100° = 20 pts).
After the Score
Management Decisions
1Score < 60: Poor outcome; evaluate for mechanical blockage, neurovascular compromise, or failed internal fixation.
2Stability Loss: Focus on bracing and flexor-pronator strengthening to support the medial/collateral complex.
3Functional Deficits: Targeted ADL training if ROM is preserved but multi-joint coordination is poor.