Jensen K L, Rockwood C A
Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio 78284-7774, USA.
J Shoulder Elbow Surg. 1998 Jul-Aug;7(4):362-7. doi: 10.1016/s1058-2746(98)90024-6.
A retrospective review of 24 patients who had shoulder arthroplasty revealed that 23 were able to resume playing golf. The 23 patients (mean age 52.4 years, range 26.4 to 71.9 years) underwent 26 shoulder arthroplasties, 20 total shoulder arthroplasties, and 6 hemiarthroplasties. The average follow-up was 53.4 months (range 24.4 to 127.2 months). The average length of time from shoulder arthroplasty to playing an entire round of golf was 4.5 months. Eighteen patients were able to report their preoperative handicap and noted an average improvement after surgery of almost 5 strokes. Playing golf did not result in increased radiographic evidence of component loosening, and no increase occurred in lucent lines when the golfers were compared with a control group of 76 patients with osteoarthritis who had 103 shoulder arthroplasties (P < .05). Fifty members of the American Shoulder and Elbow Society were mailed a standardized questionnaire of 11 questions concerning patients who had shoulder arthroplasty and played golf. Most surgeons (91%) encouraged such patients to resume playing golf. The average length of time members of the Society recommended that patients should wait after shoulder arthroplasty before resuming golf was 4.3 months. Approximately 60% of surgeons believed that no limit should be placed on the number of golf rounds played weekly, and 91% denied an increase in complications among those who returned to playing golf after undergoing shoulder arthroplasty. Fewer than one third of the surgeons (29.5%) believed that component wear would be a problem in patients who undergo shoulder arthroplasty and play golf frequently and would recommend a hemiarthroplasty for an active golfer because of concern about future glenoid problems.
对24例行肩关节置换术的患者进行回顾性研究发现，其中23例能够恢复打高尔夫球。这23例患者（平均年龄52.4岁，范围26.4至71.9岁）共接受了26次肩关节置换术，其中20次为全肩关节置换术，6次为半肩关节置换术。平均随访时间为53.4个月（范围24.4至127.2个月）。从肩关节置换术到打完一轮完整高尔夫球的平均时间为4.5个月。18例患者能够报告术前的高尔夫差点，并指出术后平均改善了近5杆。打高尔夫球并未导致假体松动的影像学证据增加，与76例接受103次肩关节置换术的骨关节炎对照组患者相比，高尔夫球手的透亮线也未增加（P <.05）。向美国肩肘协会的50名成员邮寄了一份包含11个问题的标准化问卷，内容涉及行肩关节置换术并打高尔夫球的患者。大多数外科医生（91%）鼓励此类患者恢复打高尔夫球。该协会成员建议患者在肩关节置换术后等待恢复打高尔夫球的平均时间为4.3个月。约60%的外科医生认为每周打高尔夫球的次数不应设限，91%的医生否认接受肩关节置换术后恢复打高尔夫球的患者并发症会增加。不到三分之一的外科医生（29.5%）认为频繁打高尔夫球的肩关节置换术患者会出现假体磨损问题，并会因担心未来肩胛盂问题而建议活跃的高尔夫球手行半肩关节置换术。
