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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

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Return to swimming after shoulder arthroplasty.

Albert D Mousad1, Justin Xie2, Daniel F Schodlbauer3

  • 1Levy Shoulder to Hand Center at the Paley Orthopedic and Spine Institute, Boca Raton, FL, USA.

Journal of Shoulder and Elbow Surgery
|December 19, 2024
PubMed
Summary

Anatomic shoulder arthroplasty (aTSA) offers a higher return to swimming rate compared to reverse shoulder arthroplasty (rTSA). Post-surgery, swimmers reported improved ability and enjoyment, regardless of arthroplasty type.

Keywords:
Total shoulder arthroplastypatient-reported outcomespostoperative performancereturn to sportreverse shoulder arthroplastyswimming

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Rehabilitation Science

Background:

  • Swimming is a popular sport, frequently pursued by patients undergoing shoulder arthroplasty.
  • Limited research exists on the return-to-sport rates specifically for swimming post-shoulder surgery.
  • Understanding swimming outcomes is crucial for patient recovery and return to athletic activities.

Purpose of the Study:

  • To determine the rate of return to swimming after primary anatomic shoulder arthroplasty (aTSA) versus reverse shoulder arthroplasty (rTSA).
  • To evaluate changes in swimming performance and patient satisfaction following these procedures.

Main Methods:

  • Retrospective review of patients undergoing primary aTSA or rTSA between 2013-2022.
  • Survey of self-identified swimmers at minimum 2-year follow-up using a swimming-specific questionnaire.
  • Assessment of patient-reported outcomes, range of motion, strength, and satisfaction.

Main Results:

  • 102 patients (49 aTSA, 53 rTSA) were analyzed at an average 5.3-year follow-up.
  • Higher return-to-swimming rates were observed in aTSA patients (82%) compared to rTSA patients (64%) (P=.048).
  • Returned swimmers reported increased duration per session, maintained strokes, and improved ability/enjoyment, with no significant performance differences between aTSA and rTSA.

Conclusions:

  • Anatomic shoulder arthroplasty (aTSA) facilitates a higher return to swimming than reverse shoulder arthroplasty (rTSA).
  • Patients returning to swimming post-aTSA or rTSA experienced enhanced swimming ability and enjoyment.
  • While return rates differ, functional swimming performance post-return shows minimal variation between aTSA and rTSA.