1. How would you rate your overall satisfaction with the surgery you had performed on your shoulder? On a scale of 1–5
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1–Very unsatisfied |
2–Unsatisfied |
3–Neutral |
4–Satisfied |
5–Very satisfied |
2. Do you experience painful spasms or cramping in your biceps muscle? Yes or No If so how often per week?
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1–More than five times per week |
2–Five times per week |
3–Once per week |
3. Do you have any pain in the biceps muscle area? Yes or No. If yes, on a scale of 1–5
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1–Very severe pain |
2–Severe pain |
3–Moderate pain |
4–Minimal pain |
5–Very minimal pain |
4. Do you have any shoulder pain? Yes or No. If yes, On a scale of 1–5
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1–Very severe pain |
2–Severe pain |
3–Moderate pain |
4–Minimal pain |
5–Very minimal pain |
5. Do you have any weakness flexing your elbow, opening a can or using a screwdriver? Yes or No. If yes, which one?
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6. Does your biceps limit any of your daily activities? Yes or No. If yes, how limited are you?
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1–Severely limited |
2–Moderately limited |
3–Minimally limited |
7. Do you notice a biceps muscle bulge (“Popeye sign”)? Yes or No. If yes, do you mind it from a cosmetic standpoint? Yes or No
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8. If you could go back in time, would you have the surgery done again? Yes or No
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