Papaliodis Dean, Richardson Nicholas, Tartaglione Jason, Roberts Timothy, Whipple Richard, Zanaros George
Division of Orthopaedic Surgery, Albany Medical Center, Albany, New York.
Clin J Sport Med. 2015 Jul;25(4):338-40. doi: 10.1097/JSM.0000000000000148.
Golf is a widely popular sport in the United States with 29 million Americans participating in the game. With an aging population and increased incidence of glenohumeral degenerative arthritis, the number of active golfers requiring total shoulder replacement is on the rise. This study aims to evaluate the effect of total shoulder replacement on golfing activity.
Retrospective; questionnaire.
Survey.
Three hundred sixty-seven patients were identified based on Current Procedural Terminology codes who underwent total shoulder arthroplasty (TSA) between January 2004 and January 2013.
A voluntary anonymous questionnaire was sent to patients by mail including both objective and subjective questions about their level of golf activity and ability both before and after the surgery.
Two hundred sixty-eight (73%) patients responded with 35 (34 right-handed and 1 left-handed patients) golfers completing the questionnaire. Results including visual analog pain scores, handicap change, and driving distance were evaluated statistically using the Student t test.
Thirty-five golfers at an average time of 3.2 years after TSA completed the questionnaire with 31/35 being able to return to the sport at an average time of 8.4 months postoperatively. Thirty of 31 patients reported improvement in their pain level during and after golfing activity by an average of 4.3 (P < 0.05) on a visual analog scale (VAS) for pain. On average, driving distances increased by 12.5 yd (P = 0.0012) and handicap improved by 1.4 strokes (P = 0.03).
Patients who undergo TSA for primary glenohumeral arthritis can safely return to golfing activity with a significant decrease in their perceived pain level as per VAS scores. Statistically significant findings included an increase in driving distance by 12.5 yd and an improvement in handicap by 1.4.
In counseling patients, it is the authors' opinion that based on our experience with golfers undergoing TSA, patients can safely return to sport at an average of 8.4 months. The likelihood of return to play was quite high, but not 100%, and as such no guarantee should be provided to patients. Outcomes of patients with TSA desiring a return to golf are positive, and possible benefits include improvement of pain and possible improvements in driving distance and handicap.
IV.
高尔夫在美国是一项广受欢迎的运动，有2900万美国人参与此项运动。随着人口老龄化以及盂肱关节退行性关节炎发病率的上升，需要进行全肩关节置换的活跃高尔夫球手数量在增加。本研究旨在评估全肩关节置换对高尔夫运动的影响。
回顾性研究；问卷调查。
调查。
根据现行程序术语代码确定了367例在2004年1月至2013年1月期间接受全肩关节置换术（TSA）的患者。
通过邮件向患者发送一份自愿匿名问卷，其中包括关于他们手术前后高尔夫活动水平和能力的客观及主观问题。
268例（73%）患者回复，35例（34例右利手和1例左利手患者）高尔夫球手完成问卷。使用学生t检验对包括视觉模拟疼痛评分、差点变化和击球距离等结果进行统计学评估。
35例高尔夫球手在TSA术后平均3.2年完成问卷，其中31/35例能够在术后平均8.4个月恢复该项运动。31例患者中有30例报告在高尔夫活动期间及之后疼痛水平有所改善，在视觉模拟疼痛量表（VAS）上平均改善4.3（P < 0.05）。平均而言，击球距离增加了12.5码（P = 0.0012），差点改善了1.4杆（P = 0.03）。
因原发性盂肱关节炎接受TSA的患者可以安全地恢复高尔夫运动，根据VAS评分，其感知疼痛水平显著降低。具有统计学意义的结果包括击球距离增加12.5码和差点改善1.4。
在为患者提供咨询时，根据我们对接受TSA的高尔夫球手的经验，作者认为患者平均在8.4个月后可以安全地恢复运动。恢复运动的可能性相当高，但不是100%，因此不应向患者提供保证。希望恢复高尔夫运动的TSA患者的结果是积极的，可能的益处包括疼痛改善以及击球距离和差点可能的改善。
IV级。
