Division of Sports Medicine, Department of Orthopaedic Surgery, School of Medicine, University of Colorado, Aurora, Colorado, USA.
Am J Sports Med. 2021 Mar;49(4):1109-1115. doi: 10.1177/0363546520923070. Epub 2020 Jul 17.
The number of golfers aged ≥65 years has increased in recent years, and shoulder arthritis is prevalent in this age group. Guidelines for return to golf (RTG) after shoulder arthroplasty have not been fully established.
To review the data available in the current literature on RTG after shoulder arthroplasty.
Systematic review.
A systematic review based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was performed. Two independent reviewers searched PubMed, Embase, and the Cochrane Library using the terms "shoulder,""arthroplasty,""replacement," and "golf." The authors sought to include all studies investigating RTG after total shoulder arthroplasty (TSA), shoulder hemiarthroplasty (HA), and reverse shoulder arthroplasty (RSA). Outcomes of interest included indications for shoulder arthroplasty, surgical technique, rehabilitation protocol, amount of time between surgery and resumption of golf activity, and patient-reported outcome measures.
A total of 10 studies were included, 2 of which reported on golf performance after shoulder arthroplasty. The other 8 studies described return to sports after shoulder arthroplasty with golf-specific data for our analysis. Three studies that included patients who underwent TSA reported RTG rates ranging from 89% to 100% after mean follow-up periods of 5.1 to 8.4 months. Two studies included patients who underwent TSA and HA and reported RTG rates of 77% and 100% after mean intervals of 5.8 and 4.5 months, respectively. Two studies included patients who underwent RSA, with RTG rates of 50% and 79% after mean postoperative intervals of 5.3 and 6 months, respectively. One study included only patients undergoing HA, with an RTG rate of 54% and a mean RTG time of 6.5 months. Varying surgical procedures and baseline patient characteristics precluded our ability to draw conclusions regarding surgical technique, rehabilitation protocol, or patient-reported outcome measures among studies reporting these data.
Most patients who undergo a shoulder arthroplasty procedure can expect to resume playing golf approximately 6 months after the index procedure. The rate of return may be lower after RSA and HA as compared with anatomic TSA. The data presented in our review can help physicians counsel patients who wish to continue golf participation after a shoulder arthroplasty procedure.
近年来，65 岁以上的高尔夫球手人数有所增加，而肩部关节炎在这个年龄段很常见。肩部关节置换术后重返高尔夫球运动（RTG）的指南尚未完全建立。
回顾当前文献中关于肩部关节置换术后 RTG 的数据。
系统评价。
根据 PRISMA（系统评价和荟萃分析的首选报告项目）指南进行系统评价。两位独立的审查员使用“肩部”、“关节置换术”、“置换”和“高尔夫”等术语，在 PubMed、Embase 和 Cochrane 图书馆中进行搜索。作者试图纳入所有研究，这些研究调查了全肩关节置换术（TSA）、肩关节半关节置换术（HA）和反式肩关节置换术（RSA）后的 RTG。感兴趣的结果包括肩部关节置换术的适应证、手术技术、康复方案、手术和恢复高尔夫活动之间的时间间隔以及患者报告的结果测量。
共纳入 10 项研究，其中 2 项研究报告了肩部关节置换术后的高尔夫表现。另外 8 项研究描述了肩部关节置换术后重返运动的情况，其中包括我们分析用的特定于高尔夫的资料。3 项包括接受 TSA 的患者的研究报告，平均随访 5.1 至 8.4 个月后，RTG 率为 89%至 100%。2 项包括接受 TSA 和 HA 的患者的研究报告，平均随访 5.8 和 4.5 个月后，RTG 率分别为 77%和 100%。2 项包括接受 RSA 的患者的研究报告，平均术后 5.3 和 6 个月后，RTG 率分别为 50%和 79%。1 项仅包括接受 HA 的患者的研究报告，RTG 率为 54%，平均 RTG 时间为 6.5 个月。由于手术过程和基线患者特征的不同，我们无法对报告这些数据的研究中的手术技术、康复方案或患者报告的结果测量得出结论。
大多数接受肩部关节置换术的患者可预期在索引手术后大约 6 个月恢复打高尔夫球。与解剖学 TSA 相比，RSA 和 HA 后的恢复率可能较低。我们的综述中提供的数据可以帮助医生为希望在肩部关节置换术后继续打高尔夫球的患者提供咨询。
