Return to Golf Following Reverse Total Shoulder Arthroplasty

Background: The object of this study was to examine return to golf and changes in golf performance after shoulderarthroplasty. Additionally, we set out to determine if there were differences in return to play and performance betweentotal shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RTSA). We also examined pain during the golfswing to determine if there is a change in pain level after surgery.Methods: Patients were identified using a Current Procedural Terminology code ۲۳۴۷۲ search for TSA. A ۱۹-questiononline survey was sent out to each patient with questions detailing golfing performance and pain during the swing beforeand after surgery. Comparisons were made to determine differences in pain, performance and enjoyment between TSAand RTSA groups before and after surgery.Results: A total of ۵۸۶ patients who underwent shoulder arthroplasty were sent the online survey via email. Of thosepatients, ۳۳ identified themselves as golfers and who responded to the survey, resulting in an overall response rate of۵.۶%. Twenty-three of ۳۱ (۷۴%) patients were able to return to golf following their procedure. Overall, the respondentswho reported pain associated with golfing activity had significantly decreased pain after undergoing either TSA orRTSA. The RTSA group had a significant drop in driving distance following the procedure and this was significantlylower than the postoperative driving distance in the TSA group, despite an insignificant preoperative difference.Conclusion: Overall, TSA offers a safe and effective means for reducing pain during the golf swing in patientssuffering from advanced shoulder osteoarthritis. While there were no significant changes in performance followingTSA, individuals undergoing RTSA can be counseled that they are at risk for lower driving distances due to alteredmechanics. Overall, patients were satisfied with their procedure and their ability to return to the golf course.Level of evidence: IV

Keywords:

golf , return to sport , shoulder replacement arthroplasty