Cargando…

Impact of Sports Activity on Medium-Term Clinical and Radiological Outcome after Reverse Shoulder Arthroplasty in Cuff Deficient Arthropathy; An Institutional Register-Based Analysis

There is a lack of consensus on what physicians can recommend and what patients can expect concerning sports activity after reverse shoulder arthroplasty (RSA). The purpose of this retrospective register-based observational study was to investigate the association between participation in sports or...

Descripción completa

Detalles Bibliográficos
Autores principales: Endell, David, Audigé, Laurent, Grob, Alexandra, Schwyzer, Hans-Kaspar, Glanzmann, Michael, Marzel, Alex, Scheibel, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7922026/
https://www.ncbi.nlm.nih.gov/pubmed/33670531
http://dx.doi.org/10.3390/jcm10040828
_version_ 1783658594553561088
author Endell, David
Audigé, Laurent
Grob, Alexandra
Schwyzer, Hans-Kaspar
Glanzmann, Michael
Marzel, Alex
Scheibel, Markus
author_facet Endell, David
Audigé, Laurent
Grob, Alexandra
Schwyzer, Hans-Kaspar
Glanzmann, Michael
Marzel, Alex
Scheibel, Markus
author_sort Endell, David
collection PubMed
description There is a lack of consensus on what physicians can recommend and what patients can expect concerning sports activity after reverse shoulder arthroplasty (RSA). The purpose of this retrospective register-based observational study was to investigate the association between participation in sports or physical activity involving the upper extremity and 5-year clinical and radiological outcomes for primary RSA patients. We screened the institutional arthroplasty registry for patients reporting the type and level of sports postoperatively after primary, unilateral RSA due to rotator cuff deficiency. One hundred thirty-eight patients with clinical and radiological outcomes documented at a minimum 5-year follow-up were divided into three groups comprising those who participated regularly in: sports mainly involving the upper extremity (sports upper extremities, SUE, n = 49), sports mainly involving the lower extremities (sports lower extremities, SLE, n = 21), and those who did not participate in sports at all (no sports, NS, n = 68). The participants had a mean age of 72 years (standard deviation (SD) 8) and were overall predominantly female patients (62%). Primary clinical outcomes included the Constant Score (CS) and Shoulder Pain and Disability Index (SPADI). Secondary radiographs were analyzed for radiolucent lines (RLL), signs of glenoid or humeral prosthesis loosening, bone resorption, bone formation, and scapular notching. A total number of 8 senior surgeons were involved in treatment of patients, and two types of prosthesis were used. The SUE group had non-significantly higher mean scores for CS (75 points) and SPADI (88 points) compared to SLE (71 and 78 points, respectively) and NS patients (66 and 78 points, respectively) (p ≥ 0.286). The incidence of RLL around the humeral diaphysis was higher in NS compared to SUE patients (32% versus 12%, respectively) (p = 0.025); all other radiological parameters were similar between the groups. There were no cases of loosening in the SUE group that led to revision surgery. Patients engaging in sports activities involving the upper extremity show similarly good functional scores 5 years post-RSA as the other groups, without additional signs of implant loosening as a result of increased shoulder use.
format Online
Article
Text
id pubmed-7922026
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-79220262021-03-03 Impact of Sports Activity on Medium-Term Clinical and Radiological Outcome after Reverse Shoulder Arthroplasty in Cuff Deficient Arthropathy; An Institutional Register-Based Analysis Endell, David Audigé, Laurent Grob, Alexandra Schwyzer, Hans-Kaspar Glanzmann, Michael Marzel, Alex Scheibel, Markus J Clin Med Article There is a lack of consensus on what physicians can recommend and what patients can expect concerning sports activity after reverse shoulder arthroplasty (RSA). The purpose of this retrospective register-based observational study was to investigate the association between participation in sports or physical activity involving the upper extremity and 5-year clinical and radiological outcomes for primary RSA patients. We screened the institutional arthroplasty registry for patients reporting the type and level of sports postoperatively after primary, unilateral RSA due to rotator cuff deficiency. One hundred thirty-eight patients with clinical and radiological outcomes documented at a minimum 5-year follow-up were divided into three groups comprising those who participated regularly in: sports mainly involving the upper extremity (sports upper extremities, SUE, n = 49), sports mainly involving the lower extremities (sports lower extremities, SLE, n = 21), and those who did not participate in sports at all (no sports, NS, n = 68). The participants had a mean age of 72 years (standard deviation (SD) 8) and were overall predominantly female patients (62%). Primary clinical outcomes included the Constant Score (CS) and Shoulder Pain and Disability Index (SPADI). Secondary radiographs were analyzed for radiolucent lines (RLL), signs of glenoid or humeral prosthesis loosening, bone resorption, bone formation, and scapular notching. A total number of 8 senior surgeons were involved in treatment of patients, and two types of prosthesis were used. The SUE group had non-significantly higher mean scores for CS (75 points) and SPADI (88 points) compared to SLE (71 and 78 points, respectively) and NS patients (66 and 78 points, respectively) (p ≥ 0.286). The incidence of RLL around the humeral diaphysis was higher in NS compared to SUE patients (32% versus 12%, respectively) (p = 0.025); all other radiological parameters were similar between the groups. There were no cases of loosening in the SUE group that led to revision surgery. Patients engaging in sports activities involving the upper extremity show similarly good functional scores 5 years post-RSA as the other groups, without additional signs of implant loosening as a result of increased shoulder use. MDPI 2021-02-18 /pmc/articles/PMC7922026/ /pubmed/33670531 http://dx.doi.org/10.3390/jcm10040828 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Endell, David
Audigé, Laurent
Grob, Alexandra
Schwyzer, Hans-Kaspar
Glanzmann, Michael
Marzel, Alex
Scheibel, Markus
Impact of Sports Activity on Medium-Term Clinical and Radiological Outcome after Reverse Shoulder Arthroplasty in Cuff Deficient Arthropathy; An Institutional Register-Based Analysis
title Impact of Sports Activity on Medium-Term Clinical and Radiological Outcome after Reverse Shoulder Arthroplasty in Cuff Deficient Arthropathy; An Institutional Register-Based Analysis
title_full Impact of Sports Activity on Medium-Term Clinical and Radiological Outcome after Reverse Shoulder Arthroplasty in Cuff Deficient Arthropathy; An Institutional Register-Based Analysis
title_fullStr Impact of Sports Activity on Medium-Term Clinical and Radiological Outcome after Reverse Shoulder Arthroplasty in Cuff Deficient Arthropathy; An Institutional Register-Based Analysis
title_full_unstemmed Impact of Sports Activity on Medium-Term Clinical and Radiological Outcome after Reverse Shoulder Arthroplasty in Cuff Deficient Arthropathy; An Institutional Register-Based Analysis
title_short Impact of Sports Activity on Medium-Term Clinical and Radiological Outcome after Reverse Shoulder Arthroplasty in Cuff Deficient Arthropathy; An Institutional Register-Based Analysis
title_sort impact of sports activity on medium-term clinical and radiological outcome after reverse shoulder arthroplasty in cuff deficient arthropathy; an institutional register-based analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7922026/
https://www.ncbi.nlm.nih.gov/pubmed/33670531
http://dx.doi.org/10.3390/jcm10040828
work_keys_str_mv AT endelldavid impactofsportsactivityonmediumtermclinicalandradiologicaloutcomeafterreverseshoulderarthroplastyincuffdeficientarthropathyaninstitutionalregisterbasedanalysis
AT audigelaurent impactofsportsactivityonmediumtermclinicalandradiologicaloutcomeafterreverseshoulderarthroplastyincuffdeficientarthropathyaninstitutionalregisterbasedanalysis
AT grobalexandra impactofsportsactivityonmediumtermclinicalandradiologicaloutcomeafterreverseshoulderarthroplastyincuffdeficientarthropathyaninstitutionalregisterbasedanalysis
AT schwyzerhanskaspar impactofsportsactivityonmediumtermclinicalandradiologicaloutcomeafterreverseshoulderarthroplastyincuffdeficientarthropathyaninstitutionalregisterbasedanalysis
AT glanzmannmichael impactofsportsactivityonmediumtermclinicalandradiologicaloutcomeafterreverseshoulderarthroplastyincuffdeficientarthropathyaninstitutionalregisterbasedanalysis
AT marzelalex impactofsportsactivityonmediumtermclinicalandradiologicaloutcomeafterreverseshoulderarthroplastyincuffdeficientarthropathyaninstitutionalregisterbasedanalysis
AT scheibelmarkus impactofsportsactivityonmediumtermclinicalandradiologicaloutcomeafterreverseshoulderarthroplastyincuffdeficientarthropathyaninstitutionalregisterbasedanalysis