Fink Barnes Leslie A, Grantham W Jeffrey, Meadows Molly C, Bigliani Louis U, Levine William N, Ahmad Christopher S
Department of Orthopaedic Surgery, Columbia University, New York, NY.
Am J Orthop (Belle Mead NJ). 2015 Feb;44(2):68-72.
There is limited information on activity levels of patients with reverse total shoulder arthroplasty (RTSA). We conducted a study of the types of sporting activities in which 78 patients with RTSA could participate. Mean follow-up was 4.8 years. Mean (SD) age at surgery was 75.3 (7.5) years. Seventy-five percent of the patients were women. Sixty-one percent underwent surgery for cuff tear arthropathy, 31% for revision of previous arthroplasty or internal fixation, 7% for complex fractures, and 1% for tumor. Mean (SD) postoperative ASES (American Shoulder and Elbow Surgeons) Standardized Shoulder Assessment Form score was 77.5 (23.4). After surgery, mean active forward elevation was 140°, mean external rotation was 48°, and mean internal rotation was to S1. Four patients played golf; none were able to play tennis. Eighteen patients (23.1%) engaged in 24 high-intensity activities, such as hunting, golf, and skiing; 48.7% engaged in moderate-intensity activities, such as swimming, bowling, and raking leaves; and 28.2% engaged only in low-intensity activities. Regarding reasons for their limited activity, 59% of the patients cited medical problems, 19.2% cited shoulder limitations, 2.5% cited fear of injury, and 19.2% reported not being limited. RTSA results in good pain relief and motion, with a variety of postoperative overhead activities enjoyed by some patients who are not limited by comorbidities.
关于反式全肩关节置换术（RTSA）患者的活动水平，相关信息有限。我们对78例接受RTSA手术的患者可参与的体育活动类型进行了一项研究。平均随访时间为4.8年。手术时的平均（标准差）年龄为75.3（7.5）岁。75%的患者为女性。61%的患者因肩袖撕裂性关节病接受手术，31%因翻修先前的关节置换术或内固定，7%因复杂骨折，1%因肿瘤。术后平均（标准差）美国肩肘外科医师学会（ASES）标准化肩关节评估表评分为77.5（23.4）。术后，平均主动前屈为140°，平均外旋为48°，平均内旋至S1。4例患者打高尔夫球；无人能打网球。18例患者（23.1%）参与了24项高强度活动，如打猎、高尔夫球和滑雪；48.7%参与了中等强度活动，如游泳、保龄球和耙树叶；28.2%仅参与低强度活动。关于活动受限的原因，59%的患者提及医疗问题，19.2%提及肩部限制，2.5%提及害怕受伤，19.2%报告无活动受限。RTSA可带来良好的疼痛缓解和活动度，一些未受合并症限制的患者术后可进行多种过头活动。
