Return to sports after shoulder arthroplasty.
Many patients prioritize the ability to return to sports following shoulder replacement surgeries, including total shoulder arthroplasty (TSA), reverse total shoulder arthroplasty (RTSA), and hemiarthroplasty (HA). While activity levels after hip and knee replacements have been well-established in the literature, studies on this topic in the field of shoulder arthroplasty are relatively limited. A review of the literature regarding athletic activity after shoulder arthroplasty was performed using the PubMed database. All studies relevant to shoulder arthroplasty and return to sport were included. The majority of patients returned to their prior level of activity within six months following TSA, RTSA, and shoulder HA. Noncontact, low demand activities are permitted by most surgeons postoperatively and generally have higher return rates than contact sports or high-demand activities. In some series, patients reported an improvement in their ability to participate in sports following the arthroplasty procedure. The rates of return to sports following TSA (75%-100%) are slightly higher than those reported for HA (67%-76%) and RTSA (75%-85%). Patients undergoing TSA, RTSA, and shoulder HA should be counseled that there is a high probability that they will be able to return to their preoperative activity level within six months postoperatively. TSA has been associated with higher rates of return to sports than RTSA and HA, although this may reflect differences in patient population or surgical indication.
Christine C Johnson, Joseph N Liu, Joshua S Dines, David M Dines, Lawrence V Gulotta, Grant H Garcia, Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, NY 10021, United States.
Christine C
CC
Johnson
Christine C Johnson, Joseph N Liu, Joshua S Dines, David M Dines, Lawrence V Gulotta, Grant H Garcia, Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, NY 10021, United States.
Daniel J
DJ
Johnson
Christine C Johnson, Joseph N Liu, Joshua S Dines, David M Dines, Lawrence V Gulotta, Grant H Garcia, Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, NY 10021, United States.
Joseph N
JN
Liu
Christine C Johnson, Joseph N Liu, Joshua S Dines, David M Dines, Lawrence V Gulotta, Grant H Garcia, Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, NY 10021, United States.
Joshua S
JS
Dines
Christine C Johnson, Joseph N Liu, Joshua S Dines, David M Dines, Lawrence V Gulotta, Grant H Garcia, Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, NY 10021, United States.
David M
DM
Dines
Christine C Johnson, Joseph N Liu, Joshua S Dines, David M Dines, Lawrence V Gulotta, Grant H Garcia, Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, NY 10021, United States.
Lawrence V
LV
Gulotta
Christine C Johnson, Joseph N Liu, Joshua S Dines, David M Dines, Lawrence V Gulotta, Grant H Garcia, Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, NY 10021, United States.
Grant H
GH
Garcia
Hemiarthroplasty; Return to sport; Reverse total shoulder arthroplasty; Shoulder replacement; Total shoulder arthroplasty
J Bone Joint Surg Am. 2010 Nov 3;92 (15):2544-56
21048173
Clin Orthop Relat Res. 2002 Nov;(404):172-88
12439258
Am J Sports Med. 2015 Nov;43(11):2816-21
26316610
Am J Sports Med. 2010 Oct;38(10):2097-105
20616374
Sports Health. 2011 Sep;3(5):441-50
23016041
Arch Orthop Trauma Surg. 1998;117(4-5):252-5
9581254
Am J Sports Med. 2016 Feb;44(2):490-6
26657261
J Shoulder Elbow Surg. 2009 Nov-Dec;18(6):892-6
19282204
J Shoulder Elbow Surg. 2012 Mar;21(3):319-23
21872496
Am J Sports Med. 2016 Mar 9;:null
26960913
Am J Sports Med. 2008 Aug;36(8):1577-81
18539951
J Shoulder Elbow Surg. 2014 Dec;23(12):1905-12
25304043
Arch Orthop Trauma Surg. 2014 Nov;134(11):1545-50
25138037
Acta Orthop Scand. 2000 Jun;71(3):243-9
10919294
Sports Health. 2015 Jan;7(1):87-9
25553218
J Shoulder Elbow Surg. 2013 May;22(5):628-35
23107145
J Bone Joint Surg Am. 2007 Jul;89(7):1476-85
17606786
J Shoulder Elbow Surg. 2006 Sep-Oct;15(5):527-40
16979046
Clin Orthop Relat Res. 2009 Jan;467(1):225-34
18685908
Clin Sports Med. 2005 Jan;24(1):175-86
15636785
Cochrane Database Syst Rev. 2015 Nov 11;(11):CD000434
26560014
J Shoulder Elbow Surg. 2012 Apr;21(4):554-60
21393018
Clin Orthop Relat Res. 2011 Sep;469(9):2496-504
21328021
J Bone Joint Surg Am. 2013 May 15;95(10 ):910-5
23677358
J Bone Joint Surg Br. 2006 Apr;88(4):496-501
16567785
Clin Orthop Relat Res. 2014 Nov;472(11):3510-6
25146057
J Bone Joint Surg Am. 2012 Dec 5;94(23 ):e1711-10
23224391
Am J Sports Med. 2015 Feb;43(2):423-7
25406301
J Shoulder Elbow Surg. 2007 Jul-Aug;16(4):396-402
17582789
J Shoulder Elbow Surg. 1997 Nov-Dec;6(6):495-505
9437598
J Shoulder Elbow Surg. 2016 Jun;25(6):920-6
26853758
J Bone Joint Surg Am. 2012 Nov 21;94(22):e164
23172331
J Arthroplasty. 1992;7 Suppl:339-46
1431914
J Bone Joint Surg Am. 2011 Dec 21;93(24):2249-54
22258770
J Bone Joint Surg Am. 2002 Aug;84-A(8):1349-53
12177264
J Bone Joint Surg Am. 2006 May;88(5):964-73
16651570
J Orthop Trauma. 2015 Jan;29(1):60-8
25186842
Musculoskeletal Care. 2006 Sep;4(3):152-66
17042026
Am J Sports Med. 2001 May-Jun;29(3):377-88
11394613
J Arthroplasty. 1993 Jun;8(3):299-306
8326312
Sportverletz Sportschaden. 2002 Mar;16(1):26-30
11951162
Ann Rheum Dis. 2005 Dec;64(12):1715-20
15843453
J Shoulder Elbow Surg. 1998 Jul-Aug;7(4):362-7
9752645
Am J Sports Med. 2009 Nov;37(11):2201-4
19684299
J Shoulder Elbow Surg. 2015 Sep;24(9):1481-5
25958214
J Shoulder Elbow Surg. 2015 Mar;24(3):460-7
25441557
J Shoulder Elbow Surg. 2013 Jan;22(1):32-7
22652065
J Bone Joint Surg Am. 1996 Nov;78(11):1696-701
8934484
J Shoulder Elbow Surg. 2011 Mar;20(2):273-80
20951063
J Shoulder Elbow Surg. 2004 May-Jun;13(3):266-71
15111895
J Bone Joint Surg Am. 2010 Dec;92 Suppl 2:23-35
21189245
Am J Sports Med. 1998 Jul-Aug;26(4):530-5
9689373
J Bone Joint Surg Am. 2005 Sep;87(9):1947-56
16140808
J Shoulder Elbow Surg. 2005 Sep-Oct;14(5):471-9
16194737
J Bone Joint Surg Br. 2011 Feb;93(2):210-6
21282761
J Shoulder Elbow Surg. 2011 Mar;20(2):281-9
21051242
J Shoulder Elbow Surg. 2010 Dec;19(8):1115-20
20554454
Arch Orthop Trauma Surg. 1983;101(3):161-9
6870503
J Shoulder Elbow Surg. 2012 Nov;21(11):1464-9
22365817