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AOFAS Ankle-Hindfoot ScoreASES Shoulder ScoreConstant-Murley ScoreDASH ScoreFAAM ScoreFRAX ScoreHOOS ScoreHarris Hip ScoreIKDC Knee ScoreKOOS ScoreLysholm Knee ScoreMayo Elbow Performance ScoreNeck Disability IndexOswestry Disability IndexOttawa RulesOxford Knee ScoreQuickDASH ScoreRowe Shoulder Instability ScoreSPADI Shoulder ScoreTegner Activity ScaleUCLA Shoulder ScoreVTE Risk (Caprini)WOMAC Score
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AOFAS Ankle-Hindfoot Score

AOFAS Ankle-Hindfoot Score

Foot & Ankle Outcome Assessment

Pain (40 pts)

Activity Limitations (10 pts)

Walking Distance (5 pts)

Walking Surface (5 pts)

Gait Abnormality (8 pts)

Sagittal Motion (8 pts)

Hindfoot Motion (6 pts)

Ankle-Hindfoot Stability (8 pts)

Alignment (10 pts)

Score Breakdown

Pain40/40
Activity Limitations10/10
Walking Distance5/5
Walking Surface5/5
Gait Abnormality8/8
Sagittal Motion8/8
Hindfoot Motion6/6
Ankle-Hindfoot Stability8/8
Alignment10/10
Guidelines & Evidence

Verified

Last Review: 2026-07-17

When to Use

When to Use

Ankle fracture outcomes
Ankle arthrodesis assessment
Total ankle arthroplasty evaluation
Hindfoot pathology (talar, calcaneal)
Ankle instability treatment response
Foot and ankle clinical research

How it Works

Components

DomainPoints%
Pain4040%
Activity Limitations1010%
Walking Distance55%
Walking Surface55%
Gait Abnormality88%
Sagittal Motion88%
Hindfoot Motion66%
Stability88%
Alignment1010%

Scoring

Total = Sum of 9 domain scores (0-100) Higher scores = better ankle-hindfoot function

Clinical Pearls

Interpretation

ScoreClassification
90-100Excellent
75-89Good
50-74Fair
<50Poor

Key Points

Most cited foot and ankle outcome measure
Combines subjective and objective elements
Domain-specific analysis guides targeted treatment
Also validated for midfoot and hallux variants

Next Steps

Clinical Actions

01
Sum the 9 domain scores
02
Interpret using classification thresholds
03
Review subdomain scores for targeted management
04
Track longitudinally for surgical outcome

The Evidence

Primary Reference

Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes

Kitaoka HB et al. • Foot and Ankle International. 1994;15(7):349-353

Origins & History

Development

The AOFAS scoring systems were developed by the American Orthopaedic Foot and Ankle Society, published in 1994. They cover ankle-hindfoot, midfoot, hallux, and lesser toes separately.

Last Comprehensive Review: 2026-07-17

In Recent Clinical News

Scanning Medical Journals

No new significant updates or guidelines matching this topic were found today. We will check again soon.