Return to sport is a concern for many undergoing shoulder arthroplasty. In the current study, patients who underwent reverse TSA and hemiarthroplasty demonstrated success in return to non-contact sports without sports-related complications and had improvements in VAS and ASES scores. Interestingly, patients undergoing reverse TSA were able to return to sports at higher rates than those undergoing hemiarthroplasty, with fewer postoperative complaints.
We have made similar observations in our practice when active patients undergo shoulder arthroplasty. Such observations and data from this study support the contention that patients can indeed safely return to sports after prosthetic shoulder arthroplasty. Furthermore, in our opinion, another key factor for a successful return to sport is the preoperative counseling between patient and surgeon to clarify expectations. We always promote a high level of activity in our patients postoperatively, but make them aware of the risk of contact sports and the limited evidence we currently have regarding long-term outcomes or risk factors for failure. This study helps us to counsel our patients better about not only the likelihood of returning to sports, but also the risk of doing so.
Jonas P. Pogorzelski, MD
International Research Fellow
Steadman Philippon Research Institute
Peter J. Millett, MD, MSc
Orthopedics Today Editorial Board member
Director of Shoulder Surgery
The Steadman Clinic
Disclosures: Millett and Pogorzelski report no relevant financial disclosures.