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Can you maintain a competitive golf swing after total shoulder arthroplasty?

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

Return to sports after joint arthroplasty is mainly evaluated for lower limbs procedures. When a return to a specific sport is mentioned, no technical approach nor level consideration are specified. We suggested that patients who undergo total shoulder arthroplasty will be able to maintain playing golf at same high level.

Methods

We performed a retrospective study on active golf players who have undergone shoulder arthroplasty. Inclusion criteria were: (1) over 50 years old (2) handicap < 54 (3) playing golf before the procedure (4) minimum follow-up of 1 year. Patients were divided into two groups: ASA group and RSA Group. A clinical assessment was performed using the following scores: Constant, ASES and QuickDash.

Results

Sixty-one patients were retrospectively included in the cohort. Mean age was 69.1 years old. Mean follow-up was 79 months. Preoperative golf frequency and handicap were similar between the two groups. Surgery resulted in significant pain relief in both groups. No difference was shown between the two groups in clinical assessment. Satisfaction rate was 95%. Return to golf time was done progressively from the twentieth week for putting until the twenty-seventh week for playing on the course. Handicap analysis did not show any difference between the level before surgery and the current level in ASA group (23.7 vs. 22.9,p = 0.33) and RSA group (24.2 vs. 23.3,p = 0.63).

Conclusion

Our study suggested that both patients with ASA or RSA can maintain an active lifestyle with moderate to high frequencies of participation after surgery, particularly in golf. Surgeons can reassure their patients about their recovery and show confidence with regard to their ability to return to a similar golf practice also after RSA. Prospective study with larger cohort is required to confirm the results.

Level of evidence:

Level IV, cases study.

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References

  1. Weiss JM, Noble PC, Conditt MA et al (2002) What functional activities are important to patients with knee replacements? Clin Orthop. https://doi.org/10.1097/00003086-200211000-00030

    Article  PubMed  Google Scholar 

  2. Pioger C, Harly É, Rattier S et al (2019) Arthroscopy training in France: a resident perception and self-assessment. Orthop Traumatol Surg Res OTSR 105:S397–S402. https://doi.org/10.1016/j.otsr.2019.09.013

    Article  PubMed  Google Scholar 

  3. Aim F, Werthel J-D, Deranlot J et al (2018) Return to sport after shoulder arthroplasty in recreational athletes: a systematic review and meta-analysis. Am J Sports Med 46:1251–1257. https://doi.org/10.1177/0363546517714449

    Article  PubMed  Google Scholar 

  4. Garcia GH, Liu JN, Sinatro A et al (2017) High satisfaction and return to sports after total shoulder arthroplasty in patients aged 55 years and younger. Am J Sports Med 45:1664–1669. https://doi.org/10.1177/0363546517695220

    Article  PubMed  Google Scholar 

  5. Garcia GH, Taylor SA, DePalma BJ et al (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

    Article  PubMed  Google Scholar 

  6. Jensen KL, Rockwood CA (1998) Shoulder arthroplasty in recreational golfers. J Shoulder Elbow Surg 7:362–367. https://doi.org/10.1016/s1058-2746(98)90024-6

    Article  CAS  PubMed  Google Scholar 

  7. Liu JN, Steinhaus ME, Garcia GH et al (2018) Return to sport after shoulder arthroplasty: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 26:100–112. https://doi.org/10.1007/s00167-017-4547-1

    Article  Google Scholar 

  8. McCarty EC, Marx RG, Maerz D et al (2008) Sports participation after shoulder replacement surgery. Am J Sports Med 36:1577–1581. https://doi.org/10.1177/0363546508317126

    Article  PubMed  Google Scholar 

  9. Papaliodis D, Richardson N, Tartaglione J et al (2015) Impact of total shoulder arthroplasty on golfing activity. Clin J Sport Med Off J Can Acad Sport Med 25:338–340. https://doi.org/10.1097/JSM.0000000000000148

    Article  Google Scholar 

  10. Papaliodis DN, Photopoulos CD, Mehran N et al (2017) Return to golfing activity after joint arthroplasty. Am J Sports Med 45:243–249. https://doi.org/10.1177/0363546516641917

    Article  PubMed  Google Scholar 

  11. Schumann K, Flury MP, Schwyzer H-K et al (2010) Sports activity after anatomical total shoulder arthroplasty. Am J Sports Med 38:2097–2105. https://doi.org/10.1177/0363546510371368

    Article  PubMed  Google Scholar 

  12. Kim SH, Wise BL, Zhang Y, Szabo RM (2011) Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am 93:2249–2254. https://doi.org/10.2106/JBJS.J.01994

    Article  PubMed  Google Scholar 

  13. Villatte G, Erivan R, Barth J et al (2020) Progression and projection for shoulder surgery in France, 2012–2070: epidemiologic study with trend and projection analysis. Orthop Traumatol Surg Res OTSR 106:1067–1077. https://doi.org/10.1016/j.otsr.2020.04.019

    Article  PubMed  Google Scholar 

  14. Werner BS, Abdelkawi AF, Boehm D et al (2017) Long-term analysis of revision reverse shoulder arthroplasty using cemented long stems. J Shoulder Elbow Surg 26:273–278. https://doi.org/10.1016/j.jse.2016.05.015

    Article  PubMed  Google Scholar 

  15. Dukan R, Bahman M, Rousseau M-A, Boyer P (2019) Outcomes of reverse shoulder arthroplasty using a short stem through a superolateral approach. J Shoulder Elbow Surg. https://doi.org/10.1016/j.jse.2019.09.025

    Article  PubMed  Google Scholar 

  16. Jobe FW, Moynes DR, Antonelli DJ (1986) Rotator cuff function during a golf swing. Am J Sports Med 14:388–392. https://doi.org/10.1177/036354658601400509

    Article  CAS  PubMed  Google Scholar 

  17. Pink M, Jobe FW, Perry J (1990) Electromyographic analysis of the shoulder during the golf swing. Am J Sports Med 18:137–140. https://doi.org/10.1177/036354659001800205

    Article  CAS  PubMed  Google Scholar 

  18. McHardy A, Pollard H (2005) Muscle activity during the golf swing. Br J Sports Med 39:799–804; discussion 799–804. https://doi.org/10.1136/bjsm.2005.020271

  19. Escamilla RF, Andrews JR (2009) Shoulder muscle recruitment patterns and related biomechanics during upper extremity sports. Sports Med Auckl NZ 39:569–590. https://doi.org/10.2165/00007256-200939070-00004

    Article  Google Scholar 

  20. Salem HS, Park DH, Thon SG et al (2021) Return to golf after shoulder arthroplasty: a systematic review. Am J Sports Med 49:1109–1115. https://doi.org/10.1177/0363546520923070

    Article  PubMed  Google Scholar 

  21. Wang J, Popchak A, Giugale J et al (2018) Sports participation is an appropriate expectation for recreational athletes undergoing shoulder arthroplasty. Orthop J Sports Med 6:2325967118800666. https://doi.org/10.1177/2325967118800666

    Article  PubMed  PubMed Central  Google Scholar 

  22. Magnussen RA, Mallon WJ, Willems WJ, Moorman CT (2011) Long-term activity restrictions after shoulder arthroplasty: an international survey of experienced shoulder surgeons. J Shoulder Elbow Surg 20:281–289. https://doi.org/10.1016/j.jse.2010.07.021

    Article  PubMed  Google Scholar 

  23. Armstrong AD, Southam JD, Horne AH et al (2016) Subscapularis function after total shoulder arthroplasty: electromyography, ultrasound, and clinical correlation. J Shoulder Elbow Surg 25:1674–1680. https://doi.org/10.1016/j.jse.2016.02.018

    Article  PubMed  Google Scholar 

  24. Walker D, Wright TW, Banks SA, Struk AM (2014) Electromyographic analysis of reverse total shoulder arthroplasties. J Shoulder Elbow Surg 23:166–172. https://doi.org/10.1016/j.jse.2013.05.005

    Article  PubMed  Google Scholar 

  25. Pelletier-Roy R, Ratté-Larouche M, Laurendeau S, Pelet S (2021) Electromyographic and kinematic study of reverse total shoulder arthroplasty: an observational prospective cohort study. J Shoulder Elbow Surg 30:165–171. https://doi.org/10.1016/j.jse.2020.04.053

    Article  PubMed  Google Scholar 

  26. Ackland DC, Roshan-Zamir S, Richardson M, Pandy MG (2010) Moment arms of the shoulder musculature after reverse total shoulder arthroplasty. J Bone Joint Surg Am 92:1221–1230. https://doi.org/10.2106/JBJS.I.00001

    Article  PubMed  Google Scholar 

  27. Boileau P, Gonzalez J-F, Chuinard C et al (2009) Reverse total shoulder arthroplasty after failed rotator cuff surgery. J Shoulder Elbow Surg 18:600–606. https://doi.org/10.1016/j.jse.2009.03.011

    Article  PubMed  Google Scholar 

  28. Sirveaux F, Favard L, Oudet D et al (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

    Article  CAS  PubMed  Google Scholar 

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The author(s) declare that they have no competing interests.

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Authors and Affiliations

  1. Hand, Upper Limb & Peripheral Nerve Surgery Service, Georges-Pompidou European Hospital (HEGP), 20 rue Leblanc, 75015, Paris, France

    Ruben Dukan & Emmanuel H. Masmejean

  2. Federation Francaise de Golf, 68 Rue Anatole France, 92300, Levallois–Perret, France

    Olivier Rouillon

  3. Racing 92 Rugby, 11 Avenue Paul Langevin, 92350, Le Plessis-Robinson, France

    Olivier Rouillon

  4. Medical School, University of Paris, 12 rue de l’Ecole de Médecine, 75006, Paris, France

    Emmanuel H. Masmejean

  5. Research Unit–Clinique Blomet, 136 bis rue Blomet, 75015, Paris, France

    Emmanuel H. Masmejean

Authors
  1. Ruben Dukan
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  2. Olivier Rouillon
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  3. Emmanuel H. Masmejean
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Correspondence to Ruben Dukan.

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Dukan, R., Rouillon, O. & Masmejean, E.H. Can you maintain a competitive golf swing after total shoulder arthroplasty?. Eur J Orthop Surg Traumatol 33, 795–801 (2023). https://doi.org/10.1007/s00590-022-03213-2

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  • DOI: https://doi.org/10.1007/s00590-022-03213-2

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