Why do patients not return to sports or work after anatomical or reverse total shoulder arthroplasty? A systematic review and meta-analysis

Q2 Medicine

JSES International Pub Date : 2025-09-01 DOI:10.1016/j.jseint.2025.05.028

Wouter J. van der Poel BSc Med , Arno A. Macken MD , Denise Eygendaal MD (Prof.) , Geert A. Buijze MD, PhD , Michel P.J. van den Bekerom MD (Prof.)

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引用次数: 0

Abstract

Background

Several studies have been published regarding the rate of return to sports or work after shoulder arthroplasty. However, there are no systematic reviews regarding the reasons for not returning to sports or work. The aim of this study is to assess the rate of return to sports or work and the reasons not to return to sports or work in patients undergoing total shoulder arthroplasty.

Methods

The search was performed on the 23rd of April 2024 in multiple databases. Studies reporting return to work or return to sport after anatomic total shoulder arthroplasty (aTSA) or reverse total shoulder arthroplasty (rTSA) with a minimum follow-up of 2 years and studies reporting the reasons for no return to sport or no return to work after anatomical or reverse shoulder arthroplasty were included.

Results

Our search resulted in 393 articles, of which 31 studies were included. In total, 18 studies reported the reasons for not returning, whereas 13 did not. The mean (95% confidence interval) return rate to sport was 91% (86%-95%) after aTSA and 80% (72%-89%) after rTSA. Reasons not to return to sport were shoulder related in 13 of the 27 cases after aTSA and in 6 of the 19 cases after rTSA. The mean (95% confidence interval) return rate to work was 76% (59%-93%) after aTSA and 46% (26%-66%) after rTSA. Reasons not to return to work were shoulder related in 4 of the 15 cases after aTSA and in 8 of the 35 cases after rTSA.

Conclusion

A high return to sport can be expected after total shoulder arthroplasty. The rate of return to work after aTSA is high; this is in contrast to patients with an rTSA who are less likely to return to work. Interestingly, most reasons not to return to sport or work after shoulder arthroplasty are not shoulder related. Reporting of reasons not to return to sport or work is limited; this should be considered in future studies.

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为什么解剖或反向全肩关节置换术后患者不能恢复运动或工作？系统回顾和荟萃分析

关于肩关节置换术后恢复运动或工作的比率已经发表了几项研究。然而，没有关于不重返运动或工作的原因的系统评论。本研究的目的是评估接受全肩关节置换术的患者重返运动或工作的比率以及不重返运动或工作的原因。方法于2024年4月23日在多个数据库中检索。研究报告解剖性全肩关节置换术（aTSA）或反向全肩关节置换术（rTSA）后恢复工作或恢复运动，至少随访2年，研究报告解剖性或反向肩关节置换术后不恢复运动或不恢复工作的原因。结果我们检索到393篇文章，其中31篇研究被纳入。总共有18项研究报告了不回国的原因，而13项没有。aTSA后的平均（95%置信区间）运动恢复率为91% (86%-95%)，rTSA后为80%（72%-89%）。27例aTSA后不重返运动的原因中有13例与肩部有关，19例rTSA后有6例与肩部有关。aTSA后的平均（95%置信区间）工作回报率为76% (59%-93%)，rTSA后为46%（26%-66%）。15例aTSA后不重返工作岗位的原因中有4例与肩部有关，35例rTSA后有8例与肩部有关。结论全肩关节置换术后运动恢复率高。aTSA后的复工率很高；这与rTSA患者相反，后者不太可能重返工作岗位。有趣的是，肩关节置换术后不重返运动或工作的大多数原因与肩关节无关。报告不重返运动或工作的原因是有限的；在今后的研究中应考虑到这一点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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