Abstract
Tennis is a sport for life and as such many people continue to play well into older ages. In addition to normal aging processes affecting the shoulder, the biomechanical stresses of repetitive overhead sports activities make many older-age tennis players of all levels susceptible to osteoarthritic changes with time. In this chapter, we will define the degrees of osteoarthritis as well as outline the diagnostic tools and treatment options available to care for these maturing athletes.
Treatment modalities include conservative nonoperative interventions as well as surgical remedies. We have defined the surgical treatments as non-prosthetic to include arthroscopic treatments in milder clinical situations and prosthetic to describe joint replacement options for more severe cases. Arthroscopic techniques can give short- to moderate-term relief in milder cases of osteoarthritis, while in cases of true joint space narrowing and bone spurs, modern shoulder arthroplasty has given more durable and excellent pain relief and return to sports.
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References
Pluim BM, Staal JB, Marks BL, Miller S, Miley D. Health benefits of tennis. Br J Sports Med. 2007;41(11):760–8.
Abrams GD, Renstrom PA, Safran MR. Epidemiology of musculoskeletal injury in the tennis player. Br J Sports Med. 2012;46(7):492–8.
Pluim BM, Staal JB, Windler GE, Jayanthi N. Tennis injuries: occurrence, aetiology, and prevention. Br J Sports Med. 2006;40(5):415–23.
Nakagawa Y, Hyakuna K, Otani S, Hashitani M, Nakamura T. Epidemiologic study of glenohumeral osteoarthritis with plain radiography. J Shoulder Elbow Surg. 1999;8(6):580–4.
Maquirriain J, Ghisi JP, Amato S. Is tennis a predisposing factor for degenerative shoulder disease? A controlled study in former elite players. Br J Sports Med. 2006;40(5):447–50.
Marx RG, Sperling JW, Cordasco FA. Overuse injuries of the upper extremity in tennis players. Clin Sports Med. 2001;20(3):439–51.
Elliott B, Fleisig G, Nicholls R, Escamilia R. Technique effects on upper limb loading in the tennis serve. J Sci Med Sport. 2003;6(1):76–87.
Dines JS, Bedi A, Williams PN, Dodson CC, Ellenbecker TS, Altchek DW, Windler G, Dines DM. Tennis injuries: epidemiology, pathophysiology, and treatment. J Am Acad Orthop Surg. 2015;23(3):181–9.
Kibler WB. Biomechanical analysis of the shoulder during tennis activities. Clin Sports Med. 1995;14(1):79–85.
Martin C, Bideau B, Bideau N, Nicolas G, Delamarche P, Kulpa R. Energy flow analysis during the tennis serve: comparison between injured and noninjured tennis players. Am J Sports Med. 2014;42(11):2751–60.
Ellenbecker T, Roetert EP. Age specific isokinetic glenohumeral internal and external rotation strength in elite junior tennis players. J Sci Med Sport. 2003;6(1):63–70.
Elliott B. Biomechanics and tennis. Br J Sports Med. 2006;40:392–6.
Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplasty. 1999;14(6):756–60.
Bercik MJ, Kruse K, Yalizis M, Gauci MO, Chaoui J, Walch G. A modification to the Walch classification of the glenoid in primary glenohumeral osteoarthritis using three-dimensional imaging. J Shoulder Elbow Surg. 2016;25(10):1601–6.
Friedman RJ, Hawthorne KB, Genez BM. The use of computerized tomography in the measurement of glenoid version. J Bone Joint Surg. 1992;74(7):1032–7.
Izquierdo R, Voloshin I, Edwards S, Freehill MQ, Stanwood W, Wiater JM, Watters WC III, Goldberg MJ, Keith M, Turkelson CM, Wies JL, Anderson S, Boyer K, Raymond L, Sluka P, American Academy of Orthopedic Surgeons. Treatment of glenohumeral osteoarthritis. J Am Acad Orthop Surg. 2010;18(6):375–82.
Silverstein E, Leger R, Shea KP. The use of intra-articular hylan G-F 20 in the treatment of symptomatic osteoarthritis of the shoulder: a preliminary study. Am J Sports Med. 2007;35(6):979–85.
Weinstein DM, Bucchieri JS, Pollock RG, Flatow EL, Bigliani LU. Arthroscopic debridement of the shoulder for osteoarthritis. Arthroscopy. 2000;16(5):471–6.
Safran MR, Wolde-Tsadik G. Prospective outcome study of arthroscopic debridement for the treatment of grade IV glenohumeral arthritis. Presented at the American Academy of Orthopaedic Surgeons 68h Annual Meeting, 2002.
Weber SC, Kaufmann JI. Arthroscopic debridement in the management of glenohumeral arthritis. Presents at the American Academy of Orthopaedic Surgeons 70th Annual Meeting, 2004.
Bell SN, Gschwend N. Clinical experience with total arthroplasty and hemiarthroplasty of the shoulder using the Neer prosthesis. Int Orthop. 1986;10(4):217–22.
Boyd AD, Thomas WH, Scott RD, Sledge CB, Thornhill TS. Total shoulder arthroplasty versus hemiarthroplasty. Indications for glenoid resurfacing. J Arthroplasty. 1990;5(4):329–36.
Clayton ML, Ferlic DC, Jeffers PD. Prosthetic arthroplasties of the shoulder. Clin Orthop Relat Res. 1982;(164):184–91.
Norris TR, Iannotti JP. Functional outcome after shoulder arthroplasty for primary osteoarthritis: a multicenter study. J Shoulder Elbow Surg. 2002;11(2):130–5.
Rodosky MW, Bigliani LU. Indications for glenoid resurfacing in shoulder arthroplasty. J Shoulder Elbow Surg. 1996;5(3):231–48.
Neer CS, Watson KC, Stanton FL. Recent experience in total shoulder replacement. J Bone Joint Surg. 1982;64(3):319–37.
Iannotti JP, Norris TR. Influence of preoperative factors on outcome of shoulder arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg. 2003;85(2):251–8.
Godeneche A, Boileau P, Favard L, Le Huec JC, Levigne C, Nove-Josserand L, Walch G, Edwards TB. Prosthetic replacement in the treatment of osteoarthritis of the shoulder: early results of 268 cases. J Shoulder Elbow Surg. 2002;11(1):11–8.
Cofield RH. Total shoulder arthroplasty with the Neer prosthesis. J Bone Joint Surg. 1984;66(6):899–906.
Matsen FA. Early effectiveness of shoulder arthroplasty for patients who have primary glenohumeral degenerative joint disease. J Bone Joint Surg. 1996;78(2):260–4.
Torchia ME, Cofield RH, Settergren CR. Total shoulder arthroplasty with the Neer prosthesis: long-term results. J Shoulder Elbow Surg. 1997;6(6):495–505.
Gartsman GM, Roddey TS, Hammerman SM. Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis. J Bone Joint Surg. 2000;82(1):26–34.
Radnay CS, Setter KJ, Chambers L, Levine WN, Bigliani LU, Ahmad CS. Total shoulder replacement compared with humeral head replacement for the treatment of primary glenohumeral osteoarthritis: a systematic review. J Shoulder Elbow Surg. 2007;14(4):396–402.
Wall B, Nove-Josserand L, O’Connor DP, Edwards TB, Walch G. Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg. 2007;89(7):1476–85.
Samuelsen BT, Wagner ER, Houdek MT, Elhassan BT, Sanchez-Sotelo J, Cofield R, Sperling JW. Primary reverse shoulder arthroplasty in patients aged 65 years or younger. J Shoulder Elbow Surg. 2016;16:e13.
Guery J, Favard L, Sirveaux F, Oudet D, Mole D, Walch G. Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Joint Surg. 2006;88(8):1742–7.
Golant A, Christoforou D, Zuckerman JD, Kwon YW. Return to sports after shoulder arthroplasty: a survey of surgeons’ preferences. J Shoulder Elbow Surg. 2012;21(4):554–60.
Liu JN, Garcia GH, Mahony G, Wu HH, Dines DM, Warren RF, Gulotta LV. Sports after shoulder arthroplasty: a comparative analysis of hemiarthroplasty and reverse total shoulder replacement. J Shoulder Elbow Surg. 2016;25(6):920–6.
Magnussen RA, Mallon WJ, Willems WJ, Moorman CT. Long-term activity restrictions after shoulder arthroplasty: an international survey of experienced shoulder surgeons. J Shoulder Elbow Surg. 2011;20(2):281–9.
Garcia GH, Mahony GT, Fabricant PD, Wu HH, Dines DM, Warren RF, Craig EV, Gulotta LV. Sports- and work-related outcomes after shoulder hemiarthroplasty. Am J Sports Med. 2016;44(2):490–6.
Schumann K, Flury MP, Schwyzer HK, Simmen BR, Drerup S, Goldhahn J. Sports activity after anatomical total shoulder arthroplasty. Am J Sports Med. 2010;38(10):2097–105.
McCarty EC, Marx RG, Maerz D, Altchek D, Warren RF. Sports participation after shoulder replacement surgery. Am J Sports Med. 2008;36(8):1577–81.
Garcia GH, Liu JN, Mahony GT, Sinatro A, Wu HH, Craig EV, Warren RF, Dines DM, Gulotta LV. Hemiarthroplasty versus total shoulder arthroplasty for shoulder osteoarthritis: a matched comparison of return to sports. Am J Sports Med. 2016. https://doi.org/10.1177/0363546516632527. MID: 26960913.
Labriola JE, Edwards TB. Reverse total shoulder arthroplasty in the senior athlete. Oper Tech Sports Med. 2008;16(1):43–9.
Garcia GH, Taylor SA, DePalma BJ, Mahony GT, Grawe BM, Nguyen J, Dines JS, Dines DM, Warren RF, Craig EV, Gulotta LV. Patient activity levels after reverse total shoulder arthroplasty: what are patients doing? Am J Sports Med. 2015;43(11):2816–21.
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Corpus, K.T., James, E.W., Maquirriain, J., Dines, D.M. (2018). Osteoarthritis and the Senior Tennis Player. In: Di Giacomo, G., Ellenbecker, T., Kibler, W. (eds) Tennis Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-71498-1_17
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DOI: https://doi.org/10.1007/978-3-319-71498-1_17
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