Hospital for Special Surgery, New York, New York.
Sports Health. 2015 Jan;7(1):87-9. doi: 10.1177/1941738114550988.
Increasingly, total shoulder arthroplasty is being performed not only to treat the pain associated with glenohumeral arthritis but also to return patients to the level of activity and function they enjoyed prior to the development of arthritis. While return to sport and activity have been studied in the total knee and total hip replacement literature, it is only relatively recently that the same focus has been placed on total shoulder replacements.
PubMed database from the years 2000 to 2014. All studies relevant to shoulder arthroplasty and return to sport were included in the review.
Clinical review.
Level 4.
An increasing number of patients seeking total shoulder arthroplasty are doing so with the expectation of not only decreased symptoms of glenohumeral arthritis but also of return to a high level of activity. The majority of patients are able to return to their prior level of activity within 6 months of surgery. In some series, patients saw an improvement in their ability to perform their chosen activity.
Patients should be counseled that there is a high probability that they will be able to return to their preoperative activity level after total shoulder arthroplasty and, in some cases, see an improvement in their abilities to participate in sport.
STRENGTH-OF-RECOMMENDATION TAXONOMY SORT: C.
越来越多的全肩关节置换术不仅用于治疗与肩关节炎相关的疼痛,还用于使患者恢复到关节炎发病前的活动和功能水平。虽然全膝关节和全髋关节置换术的文献已经研究了重返运动和活动的问题,但直到最近,人们才将同样的关注点放在全肩关节置换术上。
2000 年至 2014 年期间的 PubMed 数据库。所有与肩关节置换术和重返运动相关的研究都纳入了综述。
临床综述。
4 级。
越来越多寻求全肩关节置换术的患者不仅期望减轻肩关节炎的症状,而且期望恢复到高水平的活动。大多数患者在手术后 6 个月内能够恢复到术前的活动水平。在一些系列研究中,患者看到了他们进行所选活动的能力有所提高。
应告知患者,他们极有可能在全肩关节置换术后恢复到术前的活动水平,在某些情况下,他们参与运动的能力也会有所提高。
C。