Return to sports after shoulder arthroplasty

Johnson, Christine Cole; Johnson, Daniel J.; Liu, Joseph N.; Dines, Joshua S.; Dines, David M.; Gulotta, Lawrence V.; Garcia, Grant H.

doi:10.5312/wjo.v7.i9.519

Cited by 25 publications

(13 citation statements)

References 60 publications

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“…They found that both the hemiarthroplasty and RTSA cohorts were able to return to recreational sporting activities, but the RTSA groups significantly outperformed the hemiarthroplasty group in patient-oriented pain outcomes and rates of return to sport. 10 In a comparison of return to sport following TSA, RTSA, and hemiarthroplasty, Johnson et al 8 found that the TSA group (75%-100%) returned to sports at a higher rate than the RTSA (75%-85%) and hemiarthroplasty (67%-76%) groups. Similar rates of return to sport following shoulder arthroplasty and conclusions were found by a separate systematic review and meta-analysis performed by Liu et al 11 …”

Section: Discussionmentioning

confidence: 99%

Return to Recreational Sporting Activities Following Total Shoulder Arthroplasty

Mannava

Horan

Frangiamore

et al. 2018

Orthopaedic Journal of Sports Medicine

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Background:Patients are staying active longer and expect to return to sports or continue participating in recreational activities after total shoulder arthroplasty (TSA) for primary glenohumeral osteoarthritis.Purpose/Hypothesis:The purpose of this study was to assess the ability of patients to return to recreational sports following TSA. We hypothesized that TSA would allow a high rate of return to recreational sports.Study Design:Case series; Level of evidence, 4.Methods:All patients who underwent primary TSA by a single surgeon and were at least 2 years out from surgery were included and were studied for their ability to return to recreational activity following surgery between December 2005 and January 2015. Patient-reported outcomes were obtained, including the 12-Item Short Form Health Survey–Physical Component Summary (SF-12 PCS); Single Assessment Numeric Evaluation (SANE); Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire; American Shoulder and Elbow Surgeons (ASES) score; and satisfaction scores (10-point scale), preoperatively and at a minimum of 2 years postoperatively. Return-to-sport rates were assessed using a standardized patient-reported outcome questionnaire.Results:A total of 165 patients (186 shoulders) that received TSA met the inclusion criteria for the study. Preoperatively, 139 patients (157 shoulders) were involved in recreational sports; 16 (8.6%) shoulders required additional surgical intervention after the index TSA procedure. A significant postoperative increase was noted in the mean ASES (from 48.3 to 87.0; P < .001), QuickDASH (from 41.0 to 15.8; P < .001), SANE (from 49.1 to 81.2; P < .001), and SF-12 PCS scores (from 38.6 to 48.9; P = .004). Of the 157 shoulders in the recreational sports cohort, responses to the survey examining recreational sporting activities after surgery were available for 112 shoulders. The overall rate of return to sport or recreational activity following TSA was 93.7% (105/112 shoulders). The rate of return to recreational sporting activity equal to or better than the preinjury level was 69.7% (78/112 shoulders), while 6.3% (7/112 shoulders) of our cohort reported that they were unable to compete in recreational sports following TSA. Of the patients who participated in predominantly upper extremity sporting activities after TSA, 49% had to modify their postoperative recreational sporting activity because of lifestyle change, pain, weakness, or decreased range of motion.Conclusion:Patients undergoing TSA showed excellent postoperative improvement in their outcome scores, satisfaction, and return to athletic activities. Despite the expected decrease in activity levels with the slow progression of osteoarthritis over time until TSA was performed, almost 94% of patients successfully returned to various recreational sporting activities postoperatively. This study showed that return to recreational sports can be achieved at participation levels that are comparable with preoperative levels, but athletes in some sports such as tennis or s...

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Section: Discussionmentioning

confidence: 99%

Return to Recreational Sporting Activities Following Total Shoulder Arthroplasty

Mannava

Horan

Frangiamore

et al. 2018

Orthopaedic Journal of Sports Medicine

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“…Thus, avoiding stem-related complications, improved options to gain an anatomic reconstruction of the proximal humerus and preserving the bone stock for easier revisions are practical reasons why stemless designs have been introduced as an alternative to traditional designs. However, both patients and surgeons have high expectations regarding activity levels and return to sports following shoulder replacement surgery[ 8 ]. In regard to these data, the ongoing development of shoulder arthroplasty is a logical consequence.…”

Section: Introductionmentioning

confidence: 99%

Restoration of the joint geometry and outcome after stemless TESS shoulder arthroplasty

Engelhardt

Manzke

Breil-Wirth

et al. 2017

WJO

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AIMTo evaluate the joint geometry and the clinical outcome of stemless, anatomical shoulder arthroplasty with the TESS system.METHODSTwenty-one shoulders with a mean follow-up 18 of months were included. On scaled digital radiographs the premorbid center of rotation (CoR) was assessed and compared to the CoR of the prosthesis by using the MediCAD® software. Additionally, the pre- and post-operative geometry of the CoR was assessed in relation to the glenoid, the acromion as well as to the proximal humerus. Radiological changes, such as radiolucencies, were also assessed. Clinical outcome was assessed with the Constant and DASH score.RESULTSBoth, the Constant and DASH scores improved significantly from 11% to 75% and from 70 to 30 points, P < 0.01 respectively. There were no significant differences regarding age, etiology, cemented or metal-backed glenoids, etc. (P > 0.05). The pre- and postoperative humeral offset, the lateral glenohumeral offset, the height of the CoR, the acromiohumeral distance as well as neck-shaft angle showed no significant changes (P > 0.05). The mean deviation of the CoR of the prosthesis from the anatomic center was 1.0 ± 2.8 mm. Three cases showed a medial deviation of more than 3 mm. These deviations of 5.1, 5.7 and 7.6 mm and were caused by an inaccurate humeral neck cut. These 3 patients showed a relatively poor outcome scoring.CONCLUSIONTESS arthroplasty allows an anatomical joint reconstruction with a very good outcome. Outliers described in this study sensitize the surgeon for an accurate humeral neck cut.

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“…It is clear from the results that RTSA is the best choice for the replacement of the shoulder joint. RTSA implantation and a properly chosen rehabilitation protocol guarantee a high return to non-contact sport and leisure activities at 75% -85% of patients [23][24][25] . The most discussed issue among the authors is the period of fixation of the operated shoulder joint.…”

Section: Resultsmentioning

confidence: 99%

Procjena djelotvornosti fizioterapije i upravljanja režima pacijenata na funkcioniranje ramenog zgloba nakon implantacije ukupne reverzibilne endoproteze

Čuj

Gajdoš

Nechvátal

et al. 2019

Med. Flum. (Online)

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Aim: The aim of our study was to evaluate the effect of established regime and physiotherapy treatment described by Brems on patients after reverse arthroplasty of shoulder joint, their ability to perform activities of daily living, functional status of the shoulder girdle, and a range of motion. Methods: The research sample consisted of 60 patients, 57±2.9 years, with implanted total reverse endoprosthesis of shoulder joint. To assess the ability of performing the activities of daily living, we used the Simple Shoulder Test. Functional status of shoulder joint was evaluated through a "Constant Score" questionnaire. The range of movement was evaluated through the "Constant Score -Range of Motion" questionnaire. The examined parameters were evaluated before surgery and a month after the surgery. During the one-month post-surgery period, all participants undergone the set of targeted physiotherapy treatment and kept the established regime. After one month of targeted physiotherapeutical treatment and correct regime management we observed significant differences in all examined parameters (p<0.001). Results: After one month of post-surgery physiotherapy, significant differences in the ability to perform certain activities of daily living, functioning of the operated shoulder joint and in the range of movement, have been reported. Conclusion: The results of our study confirmed that if patients follow this specific rehabilitation protocol and cooperate during various stages of recovery, there is a high probability that after one month, they can perform activities of daily living.Sažetak. Cilj: Cilj studije bio je procijeniti učinak uspostavljenog režima i fizioterapeutskog tretmana koji je opisao Brems na pacijentima nakon reverzne artroplastike ramenog zgloba, njihove sposobnosti za obavljanje svakodnevnih aktivnosti, funkcionalno stanje ramena i raspon pokreta. Metode: Uzorak istraživanja sastojao se od 60 pacijenata, 57 ± 2,9 godina, s implantiranom ukupnom reverzibilnom endoprotezom ramenog zgloba. Da bismo procijenili sposobnost pacijenata za obavljanje svakodnevnih aktivnosti koristili smo test Simple shoulder. Funkcionalno stanje ramenog zgloba ocijenjeno je upitnikom "Constant score". Raspon pokreta ocijenjen je upitnikom "Constant score -range of motion". Razmatrani parametri procijenjeni su prije operacije i mjesec dana nakon operacije. Tijekom jednomjesečnog postoperativnog razdoblja svi su sudionici prošli skup ciljanog fizioterapeutskog tretmana i pridržavali se uspostavljenog režima. Nakon mjesec dana ciljanog fizioterapeutskog tretmana i ispravnog Professional article/Stručni članak 275 http://hrcak.srce.hr/medicina J. Čuj et al.: Evaluation of the effectivity of physiotherapy and regime management of patients on functioning of shoulder joint... medicina fluminensis 2019, Vol. 55, No. 3, p. 274-279upravljanja režimom zabilježili smo značajne razlike u svim razmatranim parametrima (p ≤ 0.001). Rezultati: Nakon mjesec dana postoperativne fizioterapije zabilježene su bitne razlike u sposobnosti za obavljan...

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Return to sports after shoulder arthroplasty

Cited by 25 publications

References 60 publications

Return to Recreational Sporting Activities Following Total Shoulder Arthroplasty

Return to Recreational Sporting Activities Following Total Shoulder Arthroplasty

Restoration of the joint geometry and outcome after stemless TESS shoulder arthroplasty

Procjena djelotvornosti fizioterapije i upravljanja režima pacijenata na funkcioniranje ramenog zgloba nakon implantacije ukupne reverzibilne endoproteze

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