Sports Participation is an Appropriate Expectation for Recreational Athletes Following Shoulder Arthroplasty
Author(s):
Wang J. (United States of America)
Wang J. (United States of America)
Affiliations:
ESSKA Academy. Wang J. 05/09/18; 209889; P21-1158 Topic: Joint Replacement
Juntian Wang
Juntian Wang
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Abstract
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Objectives: Many patients undergoing shoulder arthroplasty are older, recreational athletes who would like to continue sports after the procedure and achieve a high quality of life. Although some studies have investigated participation in sports after shoulder arthroplasty, none have reported the type of sport and frequency of participation in association with different types of shoulder arthroplasties in significant detail. [1] [2] [3] This study aims to describe the participation in different types of sports and frequency of participation in sports activities in patients who undergo total shoulder arthroplasty (TSA), reverse total shoulder arthroplasty (rTSA), stemmed hemiarthroplasty, or humeral head resurfacing.

Methods: A retrospective chart review was performed to identify patients who underwent TSA, rTSA, hemiarthroplasty, or humeral head resurfacing by a surgeon affiliated with our department between 2004 and 2014. We excluded patients who (1) underwent revision arthroplasty, (2) had a history of chronic pain syndrome, (3) experienced septic arthritis of the involved shoulder, and/or (4) were deceased at time of follow-up. We then sent a questionnaire to patients who qualified. The questionnaire asked patients to describe the frequency of participation in each sport at time of follow-up. Frequency was rated as 0, 1-3, or 4-7 times a week. The types of sports were defined as lower-extremity sports, volleyball, tennis, skiing, bowling, swimming, weight lifting, golfing, and other sport.

Results: 288 patients were surveyed; 76 patients (26%) responded. 33 patients who responded were female. The mean ages at time of surgery for patients who underwent TSA, rTSA, hemiarthroplasty, and HemiCAP were 70, 75, 65, and 64 years, respectively. The mean durations of follow-up were 5, 3, 10, and 7 years, respectively. 55 of the 76 patients (72%) indicated that they had participated in sports activities prior to surgery; 49 patients (64%) indicated that they were currently participating in sports activities at time of follow-up. Thus, 89% of patients who had participated in sports activities prior to surgery were doing so at time of follow-up. 24 of the 76 patients (32%) indicated that they were participating in two or more sports at time of follow-up; most of these patients underwent total shoulder arthroplasty or humeral head resurfacing. The most popular sports activities with the highest levels of participation (up to 4-7 times a week) among active patients were golfing (13%), swimming (22%), and weight lifting (28%).

Conclusions: Among all patients who participated in recreational sports prior to shoulder arthroplasty, 89% of patients can expect to participate in such sports following surgery. Our study suggests that these patients can maintain an active lifestyle following surgery, particularly in regard to golfing, swimming, and weight lifting with frequent participation.

Keywords:
shoulder, arthroplasty, sports, total, reverse, hemiarthroplasty
Objectives: Many patients undergoing shoulder arthroplasty are older, recreational athletes who would like to continue sports after the procedure and achieve a high quality of life. Although some studies have investigated participation in sports after shoulder arthroplasty, none have reported the type of sport and frequency of participation in association with different types of shoulder arthroplasties in significant detail. [1] [2] [3] This study aims to describe the participation in different types of sports and frequency of participation in sports activities in patients who undergo total shoulder arthroplasty (TSA), reverse total shoulder arthroplasty (rTSA), stemmed hemiarthroplasty, or humeral head resurfacing.

Methods: A retrospective chart review was performed to identify patients who underwent TSA, rTSA, hemiarthroplasty, or humeral head resurfacing by a surgeon affiliated with our department between 2004 and 2014. We excluded patients who (1) underwent revision arthroplasty, (2) had a history of chronic pain syndrome, (3) experienced septic arthritis of the involved shoulder, and/or (4) were deceased at time of follow-up. We then sent a questionnaire to patients who qualified. The questionnaire asked patients to describe the frequency of participation in each sport at time of follow-up. Frequency was rated as 0, 1-3, or 4-7 times a week. The types of sports were defined as lower-extremity sports, volleyball, tennis, skiing, bowling, swimming, weight lifting, golfing, and other sport.

Results: 288 patients were surveyed; 76 patients (26%) responded. 33 patients who responded were female. The mean ages at time of surgery for patients who underwent TSA, rTSA, hemiarthroplasty, and HemiCAP were 70, 75, 65, and 64 years, respectively. The mean durations of follow-up were 5, 3, 10, and 7 years, respectively. 55 of the 76 patients (72%) indicated that they had participated in sports activities prior to surgery; 49 patients (64%) indicated that they were currently participating in sports activities at time of follow-up. Thus, 89% of patients who had participated in sports activities prior to surgery were doing so at time of follow-up. 24 of the 76 patients (32%) indicated that they were participating in two or more sports at time of follow-up; most of these patients underwent total shoulder arthroplasty or humeral head resurfacing. The most popular sports activities with the highest levels of participation (up to 4-7 times a week) among active patients were golfing (13%), swimming (22%), and weight lifting (28%).

Conclusions: Among all patients who participated in recreational sports prior to shoulder arthroplasty, 89% of patients can expect to participate in such sports following surgery. Our study suggests that these patients can maintain an active lifestyle following surgery, particularly in regard to golfing, swimming, and weight lifting with frequent participation.

Keywords:
shoulder, arthroplasty, sports, total, reverse, hemiarthroplasty
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