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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 26, Issue 1, pp 100–112 | Cite as

Return to sport after shoulder arthroplasty: a systematic review and meta-analysis

  • Joseph N. LiuEmail author
  • Michael E. Steinhaus
  • Grant H. Garcia
  • Brenda Chang
  • Kara Fields
  • David M. Dines
  • Russell F. Warren
  • Lawrence V. Gulotta
Shoulder

Abstract

Purpose

With increasing incidence and indications for shoulder arthroplasty, there is an increasing emphasis on the ability to return to sports. The main goal of this study was to determine the rate of return to sport after shoulder arthroplasty.

Methods

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed to perform this systematic review and meta-analysis. A search was performed on MEDLINE, Scopus, EMBASE, and the Cochrane Library. The quality of the included studies was evaluated according to the Methodological Index for Nonrandomized Studies checklist. The main judgement outcome was the rate of return to sports activity after shoulder arthroplasty and the level of play upon return (identical or higher/lower level).

Results

Thirteen studies were reviewed, including 944 patients (506 athletes), treated with shoulder arthroplasty at an average follow-up of 5.1 years (range, 0.5–12.6 years). The most common sports were swimming (n = 169), golf (n = 144), fitness sports (n = 71), and tennis (n = 63). The overall rate of return to sport was 85.1% (95% CI, 76.5–92.3%), including 72.3% (95% CI, 60.6–82.8%) returning to an equivalent or improved level of play, after 1–36 months. Patients undergoing anatomic total shoulder arthroplasty returned at a significantly higher rate (92.6%) compared to hemiarthroplasty (71.1%, p = 0.02) or reverse total shoulder arthroplasty (74.9%, p = 0.003).

Conclusion

Most patients are able to return to one or more sports following shoulder arthroplasty, with anatomic total shoulder arthroplasty having the highest rate of return.

Level of evidence

IV.

Keywords

Return to sport Shoulder arthroplasty Total shoulder replacement Shoulder hemiarthroplasty Reverse total shoulder replacement Systematic review Meta-analysis 

Notes

Compliance with ethical standards

Conflict of interest

Dr. Dines and Dr. Warren receive royalties from Biomet, which is related to the subject of this work. Dr. Gulotta receives consultant payments from Biomet, which is related to the subject of this work. None of the other authors has any financial conflict of interest pertaining to this manuscript.

Funding

There was no outside funding or grants received that assisted in this study.

Ethical approval

Ethical approval was obtained from institutional review board.

Informed consent

None.

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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2017

Authors and Affiliations

  • Joseph N. Liu
    • 1
    Email author
  • Michael E. Steinhaus
    • 1
  • Grant H. Garcia
    • 1
  • Brenda Chang
    • 2
  • Kara Fields
    • 2
  • David M. Dines
    • 3
  • Russell F. Warren
    • 3
  • Lawrence V. Gulotta
    • 3
  1. 1.Department of Orthopaedic SurgeryHospital for Special SurgeryNew YorkUSA
  2. 2.Healthcare Research InstituteHospital for Special SurgeryNew YorkUSA
  3. 3.Sports Medicine and Shoulder ServiceHospital for Special SurgeryNew YorkUSA

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