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Special Test

Harris Hip Score

Harris Hip Score (HHS) is a validated tool used to measure the functional capacity of a patient with hip pathology, before and after a surgical procedure. It’s the most common scoring technique used traditionally for hip pathology.

The Harris hip score can be used by a physician or a physiotherapist to study the clinical outcome of hip replacement.

The higher the total Harris Hip Score, the lower the level of disability.

Harris Hip Score calculator
See Also: Hip Joint Osteoarthritis

Harris Hip Score Items

Pain:

Pain DescriptionScore
None or ignores it44
Slight, occasional, no compromise in activities40
Mild pain, no effect on average activities, moderate pain with unusual activities, may take aspirin30
Moderate pain, tolerable but makes concessions, some limitation of ordinary activity, occasional pain medicine stronger than aspirin20
Marked pain, serious limitation of activity10
Totally disabled, crippled, pain in bed, bedridden0

Function/ Gait

FunctionDescriptionScore
Distance WalkedUnlimited11
4–6 blocks8
2–3 blocks5
Indoors only2
Unable to walk0
LimpNone11
Slight8
Moderate5
Severe0
SupportNone11
Cane for long walks7
Cane most of the time5
One crutch3
Two canes2
Two crutches0
Not able to walk0
See Also: WOMAC Osteoarthritis Index

Function/ Activities

StairsNormally without rail4
Normally with rail2
In any manner1
Unable to do stairs0
Shoes & SocksWith ease4
With difficulty2
Unable0
SittingComfortable in ordinary chair 1 hr5
On a high chair for 1⁄2 hr3
Unable to sit comfortably0
Enter Public Transportation1

Deformity

4 points for each of the following present

<30° flexion contracture4
<10° adduction contracture4
<10° abduction contracture4
<3.2 cm leg-length discrepancy4

Range of Motion

Flexion0–45° (1.0 point per degree)
+ 0.6 points/degree from 45°–90°
+ 0.3 points/degree from 90°–110°
Abduction0–15° (0.8 points per degree)
+ 0.3 points/degree from 15°–20°
External Rotation (in ext)0–15° (0.4 points per degree)
Adduction0–15° (0.2 points per degree)

References

  1. Harris, WH. Journal of Bone and Joint Surgery, 51-A(4):737–755, 1969.
  2. Söderman P, Malchau H. Is the Harris hip score system useful to study the outcome of total hip replacement? Clin Orthop Relat Res. 2001 Mar;(384):189-97. doi: 10.1097/00003086-200103000-00022. PMID: 11249165.
Last Reviewed
June 24, 2022
Contributed by
OrthoFixar

Orthofixar does not endorse any treatments, procedures, products, or physicians referenced herein. This information is provided as an educational service and is not intended to serve as medical advice.

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