Return to sports after reverse shoulder arthroplasty—the Swiss perspective
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This patient survey evaluated the return to previous sports activities in Swiss patients up to five years after reverse shoulder arthroplasty (RSA).
We screened our local shoulder arthroplasty registry for patients registered with a unilateral RSA due to rotator cuff deficiency between May 2010 and May 2015. Revision cases and patients already known as unwilling or unable to complete a German language questionnaire were excluded. Eligible patients received a paper questionnaire asking about their past and current sports activities, return time point and level of activity.
Of 305 patients, 89% responded at a mean post-operative follow-up of 2.9 years (SD 1.1). The respondents had a mean age of 77.1 years (SD 7.8) and included 62% females. The overall rate of patients returning to a previous sports activity was 77%. Sixty-one percent (166/271) participated in regular sports activities before the onset of their shoulder disorders. After RSA, 47% (127/271) participated in at least one sport type with the most frequent activities including hiking (66), swimming (53), cycling (45) and callisthenics (43). Most patients carried out their main sports activity after surgery with a moderate level of intensity (83%) and between one to three times per week (69%). Forty-two percent of the respondents indicated that returning to sports was among their key demands after RSA.
Returning to previous sports activities is an important expectation of RSA patients, and the majority do. Patient expectations of post-operative sports activity need to be addressed when planning RSA.
KeywordsReverse shoulder arthroplasty Sports Survey Patient expectations
Support for this research was provided by Schulthess Clinic.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
The study was performed in accordance with the ethical standards of the cantonal ethics committee of Zurich (KEK-ZH Nr. 2015-0136) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 1.Australian Orthopaedic Association (AOA) National Joint Replacement Registry (2016) Hip, Knee & Shoulder Arthroplasty. Annual Report 2016. https://aoanjrr.sahmri.com/annual-reports-2016. Accessed 7 March 2017
- 6.Dillon MT, Chan PH, Inacio MC, Singh A, Yian EH, Navarro RA (2016) Yearly trends in elective shoulder arthroplasty, 2005 through 2013. Arthritis Care Res 69(10):1574–1581. https://doi.org/10.1002/acr.23167
- 8.Frankle M, Siegal S, Pupello D, Saleem A, Mighell M, Vasey M (2005) The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Joint Surg Am 87:1697–1705. https://doi.org/10.2106/JBJS.D.02813 PubMedGoogle Scholar
- 9.Garcia GH, Taylor SA, DePalma BJ, Mahony GT, Grawe BM, Nguyen J, Dines JS, Dines DM, Warren RF, Craig EV, Gulotta LV (2015) Patient activity levels after reverse total shoulder arthroplasty: what are patients doing? Am J Sports Med 43:2816–2821. https://doi.org/10.1177/0363546515597673 CrossRefPubMedGoogle Scholar
- 10.Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42:377–381. https://doi.org/10.1016/j.jbi.2008.08.010 CrossRefPubMedGoogle Scholar
- 13.Kolling C, Schwyzer HK, Simmen BR, Flury MP, Goldhahn J (2010) Standardized outcome measurements for patients with an implanted shoulder prosthesis allow for the detailed analysis of functional and subjective surgical results. Obere Extremität 5:186–191. https://doi.org/10.1007/s11678-010-0082-0 CrossRefGoogle Scholar
- 17.National Joint Registry for England, Wales, Northern Ireland and the Isle of Man (2016) 13th Annual Report 2016. http://www.njrcentre.org.uk/njrcentre/Portals/0/Documents/England/Reports/13th%20Annual%20Report/07950%20NJR%20Annual%20Report%202016%20ONLINE%20REPORT.pdf. Accessed 7 March 2017
- 21.Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Molé D (2004) Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br 86:388–395. https://doi.org/10.1302/0301-620X.86B3.14024 CrossRefPubMedGoogle Scholar
- 23.Wang A, Doyle T, Cunningham G, Brutty M, Campbell P, Bharat C, Ackland T (2016) Isokinetic shoulder strength correlates with level of sports participation and functional activity after reverse total shoulder arthroplasty. J Shoulder Elb Surg 25:1464–1469. https://doi.org/10.1016/j.jse.2016.01.025 CrossRefGoogle Scholar