Singh Aanya, Cho Victoria, Abdel Khalik Hassaan, Dagher Danielle, Sheth Ujash, Khan Moin
Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Faculty of Health Science, McMaster University, Hamilton, Ontario, Canada.
Sports Health. 2025 Jun 19:19417381251343083. doi: 10.1177/19417381251343083.
Reverse shoulder arthroplasties (RSAs) have become significantly more common in recent decades, and shoulder arthroplasties are increasingly performed on younger, active patient populations. However, the body of evidence evaluating return to sport after RSA is limited.
To evaluate the rates of return to sport after RSA as well as patient-reported outcomes for pain and function.
A comprehensive search of MEDLINE, EMBASE, and CENTRAL identified studies from inception through October 10, 2023.
Studies evaluating return to sport after RSA in adult patients (>18 years) were included. Reviews, meta-analyses, non-English language, and studies that did not report return to sport data were excluded. Outcomes included rates of return to sport at any level, and at the same level or higher, as well as patient-reported outcomes.
Systematic review.
Level 4.
A descriptive analysis of the included studies was performed.
A total of 19 studies (3092 patients) were included. Mean patient age was 72.5 years, and most (58.8%) were female. The mean rate of return to sport at any level was 85.1% (95% CI, 84.6-85.6). The mean rate of return to the same level or higher was 69.5% (95% CI, 67.6-71.4). The mean decrease in visual analog scale pain score was 1.97, whereas ASES and CMS scores increased 64.0 and 35.5 points, respectively. All changes in patient-reported outcomes exceeded the minimal clinically important difference.
This review demonstrates a high rate of return to sport after RSA, with a substantial portion of patients maintaining or exceeding their preoperative activity level. Clinically meaningful improvements in pain and function were also observed. Limitations include the predominantly retrospective study design and the high mean patient age, necessitating further research on generalizability and long-term outcomes, particularly in younger populations.
近几十年来，反式肩关节置换术（RSA）已变得越来越普遍，并且肩关节置换术越来越多地应用于更年轻、活动量较大的患者群体。然而，评估RSA术后恢复运动情况的证据有限。
评估RSA术后恢复运动的比例以及患者报告的疼痛和功能结果。
对MEDLINE、EMBASE和CENTRAL进行全面检索，确定了从数据库建立至2023年10月10日的研究。
纳入评估成年患者（>18岁）RSA术后恢复运动情况的研究。排除综述、荟萃分析、非英文研究以及未报告恢复运动数据的研究。结局包括任何水平、相同水平或更高水平恢复运动的比例，以及患者报告的结局。
系统评价。
4级。
对纳入研究进行描述性分析。
共纳入19项研究（3092例患者）。患者平均年龄为72.5岁，大多数（58.8%）为女性。任何水平恢复运动的平均比例为85.1%（95%CI，84.6-85.6）。恢复到相同水平或更高水平的平均比例为69.5%（95%CI，67.6-71.4）。视觉模拟评分法疼痛评分平均降低1.97分，而美国肩肘外科协会（ASES）和加利福尼亚大学洛杉矶分校肩关节评分系统（CMS）评分分别提高64.0分和35.5分。患者报告结局的所有变化均超过最小临床重要差异。
本综述表明RSA术后恢复运动的比例较高，相当一部分患者维持或超过术前活动水平。在疼痛和功能方面也观察到具有临床意义的改善。局限性包括主要为回顾性研究设计以及患者平均年龄较高，因此需要进一步研究其普遍性和长期结局，尤其是在年轻人群中。
