Return to Sport After Shoulder Arthroplasty in Recreational Athletes: A Systematic Review and Meta-analysis

Aïm, Florence; Werthel, Jean‐David; Deranlot, Julien; Vigan, Marie; Nourissat, Geoffroy

doi:10.1177/0363546517714449

Cited by 22 publications

(10 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This procedure offers a high rate of preventing further recurrence and maintaining a stable shoulder. One metaanalysis study conducted by Aim et al [75] that included 613 patients who underwent complete humeral head resurfacing found the rate of return to sport to be 80.7% (range, 57.1-97.3%). Ultimately, hemiarthroplasty is continuing to prove itself as a successful surgical repair for shoulders with large and engaging Hill-Sachs defects.…”

Section: Hemiarthroplastymentioning

confidence: 99%

Understanding the Hill-Sachs Lesion in Its Role in Patients with Recurrent Anterior Shoulder Instability

Fox

Sanchez

Zajac

et al. 2017

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

The most recent literature covering the Hill-Sachs lesion has focused on the relatively new and unexplored topic of the importance of concomitant injuries while treating a humeral head defect. The glenoid track concept has been clinically validated as a method to predict engagement. 3D-CT has become the "gold standard" for Hill-Sachs imaging; however, it has been noted that 3D-MRI produces results that are not significantly different from CT. Also, it has been found that when the arm is in a position of abduction during the primary injury, there is a higher risk of engagement and subsequent dislocation. Recent studies have demonstrated successful results stemming from purely arthroscopic procedures in treating Hill-Sachs lesions. Anterior shoulder instability, specifically the Hill-Sachs lesion, is an area of orthopedic study that is highly active and constantly producing new studies in an attempt of gaining the best outcomes for patients. The past few years have yielded many excellent discoveries, but there is still much more work to be done in order to fully understand the role of the Hill-Sachs lesion in anterior shoulder instability.

show abstract

Section: Hemiarthroplastymentioning

confidence: 99%

Understanding the Hill-Sachs Lesion in Its Role in Patients with Recurrent Anterior Shoulder Instability

Fox

Sanchez

Zajac

et al. 2017

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

show abstract

“…Nonetheless, the published literature concerning active patients has focused on returning to preoperative activities, [3][4][5]24,27,48 and very few radiographic or detailed functional data concentrating on the effect of postoperative activities have been reported. 2,31 Owing to this lack of information, outcome-based guidelines for active patients, in terms of postoperative activity level management, are unavailable. It is necessary for new studies to clarify the effects of postoperative shoulder activities on repair integrity and shoulder function to improve the situation.…”

mentioning

confidence: 99%

Retears and Concomitant Functional Impairments After Rotator Cuff Repair: Shoulder Activity as a Risk Factor

Chen

Jiang

et al. 2020

Am J Sports Med

View full text Add to dashboard Cite

Background: Most patients return successfully to shoulder involving sports or activity after rotator cuff repairs. It has not been decided yet whether postoperative participation in shoulder activity adds to the risk of retear. Purpose/Hypothesis: The purpose was to verify whether patients who participate in shoulder activities after rotator cuff repair have a higher risk of structural failure than nonactive patients and to investigate the relationship between postoperative shoulder function and tendon integrity in active and nonactive patients. The hypotheses were that (1) active patients have a higher retear rate than nonactive patients and (2) structural failure is associated with worse functional outcomes in active patients. Study Design: Cohort study; Level of evidence, 3. Methods: A cohort study was performed using 145 patients who underwent arthroscopic rotator cuff repair from 2015 to 2017. Functional assessments and magnetic resonance imaging were performed at least 24 months postoperatively. Shoulder activities since 6 months after surgery were rated in 4 categories (sports, job, activities of daily life, and weight of general lifting) as sedentary, light, moderate, or strenuous. The activity level of each patient was defined by the highest rated category. Patients who were involved in light, moderate, and strenuous activity were identified as active for the present study, and the rest were defined as sedentary. The proportion of retears between groups and the functional conditions between retorn and intact tendons were compared. Results: A total of 48 patients were enrolled in the active group, and 97 were enrolled in the sedentary group. The active group demonstrated a significantly higher retear rate than the sedentary group (27.1% vs 11.3%, respectively; P = .016; risk ratio, 2.39 [95% CI, 1.16-4.93]). In the active group, patients with retears showed higher visual analog scale scores for pain, decreased abduction strength, and lower shoulder functional scores (American Shoulder and Elbow Surgeons score, Fudan University Shoulder Score, and Constant-Murley score) than those with healed tendons, whereas in the sedentary group, functional outcomes were generally similar across patients with and without retears. Conclusion: Shoulder activity after the early postoperative period was associated with a high risk of retears in patients who underwent rotator cuff repair. A correlation between inhibited function and structural failure was detected but only in active patients, while sedentary patients with retears retained functional improvements similar to those with intact tendons.

show abstract

“…Die häufigsten Ursachen für die Revision sind dabei die sekundäre Insuffizienz der Rotatorenmanschette, die aseptische Lockerung der Glenoidkomponente, Infektionen und aseptische Lockerungen der Humeruskomponente. Eine Rückkehr zu gewissen Sportund Freizeitgewohnheiten (inklusive Golfen, Schwimmen und Tennis) ist dabei in aller Regel erfolgreich möglich (80-96 %), solange eine zu intensive, übertriebene Belastung unterbleibt [52,53].…”

Section: Je Besser Die Funktion Zum Zeitpunkt Der Prothesenimplantatiunclassified

Omarthrose – Pathogenese, Klassifikation, Diagnostik und Therapie

Tauber

Martetschläger²

2019

Orthopäde

View full text Add to dashboard Cite

Online teilnehmen 3 Punkte sammeln auf CME.SpringerMedizin.de Teilnahmemöglichkeiten Die Teilnahme an diesem zertifizierten Kurs ist für 12 Monate auf CME.SpringerMedizin.de möglich. Den genauen Teilnahmeschluss erfahren Sie dort. Teilnehmen können Sie:-als Abonnent dieser Fachzeitschrift,-als e.Med-Abonnent. Als Abonnent von Der Orthopäde oder Der Unfallchirurg können Sie kostenlos an CME-Kursen beider Zeitschriften teilnehmen. Zertifizierung Diese Fortbildungseinheit ist zertifiziert von der Ärztekammer Nordrhein gemäß Kategorie D und damit auch für andere Ärztekammern anerkennungsfähig. Es werden 3 Punkte vergeben. Anerkennung in Österreich und der Schweiz Gemäß Diplom-Fortbildungs-Programm (DFP) werden die auf CME.SpringerMedizin.de erworbenen Fortbildungspunkte von der Österreichischen Ärztekammer 1:1 als fachspezifische Fortbildung angerechnet (§26(3) DFP Richtlinie). Der Orthopäde ist durch die Schweizerische Gesellschaft für Orthopädie mit 1 Credit pro Modul anerkannt.

show abstract

Return to Sport After Shoulder Arthroplasty in Recreational Athletes: A Systematic Review and Meta-analysis

Abstract: Most patients returned to sport after surgery, and all who returned to sport were practicing their sport in the 3 months before surgery. No radiological data were reported in the literature.

Cited by 22 publications

References 31 publications

Understanding the Hill-Sachs Lesion in Its Role in Patients with Recurrent Anterior Shoulder Instability

Understanding the Hill-Sachs Lesion in Its Role in Patients with Recurrent Anterior Shoulder Instability

Retears and Concomitant Functional Impairments After Rotator Cuff Repair: Shoulder Activity as a Risk Factor

Omarthrose – Pathogenese, Klassifikation, Diagnostik und Therapie

Contact Info

Product

Resources

About