Authors’ Disclosure Statement: Dr. Levy reports that he is a paid consultant of Globus Medical and DJO Orthopaedics; receives research grant funding from DJO Orthopaedics, Zimmer Biomet, Wright Medical, Rotation Medical, and OrthoSpace; and receives royalties from Innomed and DJO Orthopaedics. The other authors report no actual or potential conflict of interest in relation to this article.
Dr. Kurowicki is an Orthopaedic Research Fellow, Department of Orthopaedic Surgery, Seton Hall University, School of Health and Medical Sciences, South Orange, New Jersey. Dr. Rosas is a Physician Scientist, Department of Orthopaedic Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina. Dr. Law is an Orthopaedic Research Fellow, Department of Orthopaedic Research, Holy Cross Orthopaedic Research Institute, Fort Lauderdale, Florida. Dr. Levy is Chief of Orthopaedic Surgery, Department of Orthopaedic Surgery, Division of Shoulder and Elbow Surgery, Holy Cross Hospital, Fort Lauderdale, Florida.
Address correspondence to: Jennifer Kurowicki, MD, Seton Hall University, School of Health and Medical Sciences, 400 S Orange Ave, South Orange, NJ 07079 (email, jkurowicki@gmail.com).
Am J Orthop. 2018;47(5). Copyright Frontline Medical Communications Inc. 2018. All rights reserved.
Jennifer Kurowicki, MD Samuel Rosas, MD Tsun Yee Law, MD Jonathan C. Levy, MD . Participation in Work and Sport Following Reverse and Total Shoulder Arthroplasty. Am J Orthop.
May 23, 2018
References
RESULTS
A total of 276 patients that met the inclusion criteria were eligible for the study, with 162 having undergone TSA and 114 with RSA. Overall average follow-up totaled 29 months (range, 12-91 months). RSA patients (average age, 75 years old; range, 46-88 years) were significantly older than TSA patients (average age, 69 years old; range, 32-89 years; P = .001). Significantly more women were treated with TSA (52% TSA; 48% RSA; P = .012), whereas significantly more men were treated with TSA (67% TSA; 33% RSA, P = .012). Total ASES scores were significantly higher for TSA patients than RSA patients in work (P = .012) (Table 4) but not in sports (P = .063) (Table 5) categories.
SPORTS
A total of 186 patients, comprising of 71 RSA and 115 TSA individuals, responded to question 9 of the ASES questionnaire (Table 5). Among usually reported sports, golf (25%), swimming (17%), and walking (18%) were the most commonly cited. RSA patients indicating a sport were significantly older than TSA patients (74 years vs 69 years, P < .001). TSA patients reported a 27% higher difference in overall ability to participate in sports, with an average ASES sport-specific score of 2.5 compared with the 1.9 for RSA patients (P < .001).
Among specific sports, TSA patients reported significantly higher scores for swimming (2.6 vs 1.8, P = .007) and golf (2.5 vs 1.8, P = .050). However, no significant differences were observed for walking, gym exercises, and racquet sports (Table 5). Among sport subsets, RSA patients were significantly older for golf (77 years vs 70 years, P = .006) and bowling (80 years vs 68 years, P = .005). Five TSA patients reported biking as their sport, whereas no RSA patient reported such activity. Within each subset of sports, no significant differences were noted in average ASES total scores.
TSA patients demonstrated a more significant ability to perform usual sports that involve shoulder function without difficulty (score of 3). In shoulder dominant sports, a total of 63% of TSA patients reported a score of 3 compared with the 39% of RSA patients (P = .003). RSA patients more often reported an inability to perform shoulder specific sports, as proven by 20% of RSA patients reporting a score of 0 compared with 4% of TSA patients (P < .001) (Table 6).
WORK
A total of 265 patients, including 106 RSA and 159 TSA patients, responded to question 10 of the ASES questionnaire. Among usually reported work, retirement (43%), housework (27%), and desk jobs (18%) were the most commonly cited. RSA patients denoting a work were significantly older than TSA patients (75 years vs 69 years, P < .001). Patients with TSA presented a 21% higher difference in the overall ability to work, featuring an average ASES work-specific score of 2.6 compared with the 2.1 for RSA patients (P < .001) (Table 4).
