Journal article
Return to Sport After Shoulder Arthroplasty: An ASES Multicenter Analysis of Sport-Specific Predictors of Performance in Reverse Shoulder Arthroplasty and Total Shoulder Arthroplasty
Journal of shoulder and elbow surgery
04/2026
DOI: 10.1016/j.jse.2026.03.014
PMID: 41932675
Abstract
Many patients undergoing shoulder arthroplasty - either reverse shoulder arthroplasty (rTSA) or anatomic shoulder arthroplasty (aTSA) - strongly desire to return to sport, yet return-to-sport (RTS) outcomes remain incompletely defined. This study aimed to determine RTS rates following rTSA and aTSA and to identify patient- and sport-specific factors associated with postoperative athletic performance.
A multicenter retrospective analysis with prospective administration of RTS questionnaires was conducted among patients who underwent rTSA or aTSA between one and three years postoperatively. Twenty-four ASES surgeons from 17 U.S. institutions participated. Study design and parameters were defined using a Delphi consensus method. The RTS questionnaire assessed participation in seven sports: golf, pickleball, tennis, running, weightlifting, yoga, and swimming. Outcomes included RTS status, changes in performance, enjoyment, participation frequency, time to RTS, and shoulder satisfaction (0-10). Univariate ANOVA compared outcomes across sports. Two age- and gender-matched propensity score analyses compared (1) rTSA versus aTSA for glenohumeral osteoarthritis (GHOA) and (2) rTSA for GHOA versus rotator cuff arthropathy (RCA). Multivariate logistic regression identified predictors of worse postoperative performance.
A total of 961 patients completed the questionnaire; 55.9% (n=537) participated in at least one sport preoperatively and attempted RTS postoperatively, yielding 656 sport participations. Mean follow-up was 24.0 ± 8.1 months, mean age was 68.3 ± 8.2 years, mean BMI was 28.5 ± 5.8, and 65.6% were male. Across all sports, 89.2% of participants were still playing, and 80.2% reported improved or unchanged performance, with no differences between sports. Overall RTS rates were highest for running (92.9%), tennis (92.3%), and weightlifting (93.1%). Most patients returned within 3-6 months (44.7%).
In matched GHOA cohorts (n=165 each), rTSA demonstrated higher rates of improved or stable performance (87.9% vs 78.9%, P=0.039) and greater satisfaction (P=0.007) compared to aTSA, with similar RTS rates (93.3% vs 89.1%). Diagnosis of GHOA (OR 0.20, P=0.001) and post capsulorrhaphy arthropathy (OR 0.07, P=0.021) were independently associated with lower odds of worsened postoperative sport performance.
Return to sport following shoulder arthroplasty is high, with most patients reporting maintained or improved performance. In patients with GHOA, rTSA was associated with higher rates of improved or stable sport performance and greater satisfaction compared to aTSA.
Details
- Title: Subtitle
- Return to Sport After Shoulder Arthroplasty: An ASES Multicenter Analysis of Sport-Specific Predictors of Performance in Reverse Shoulder Arthroplasty and Total Shoulder Arthroplasty
- Creators
- Jason Corban - New England Baptist HospitalJacob M. Kirsch - New England Baptist HospitalAdam Bowler - New England Baptist HospitalEvan A. Glass - New England Baptist HospitalDeclan R. Diestel - New England Baptist HospitalRegan P. Arnold - New England Baptist HospitalMiranda McDonald-Stahl - New England Baptist HospitalCalista S. Stevens - University of ConnecticutRichard Puzzitiello - Tufts Medical CenterMichael A. Moverman - Tufts Medical CenterKiet Le - New England Baptist HospitalWarren Dunn - New England Baptist HospitalAndrew Jawa - New England Baptist HospitalKaley Beall - New England Baptist HospitalMaria Bozoghlian - University of IowaDana Garrison - University of Arkansas for Medical SciencesAmir Fanaei - Saint Louis UniversityPaul McMillan - University of CincinnatiAsim Khan - Rush University Medical CenterJada Laws - University of Tennessee Health Science CenterMihir Sheth - Georgetown UniversityCathy Shemo - Cleveland ClinicNick Wiley - Harvard Medical SchoolDavid Glaser - University of PennsylvaniaAndrew Kuntz - University of PennsylvaniaDylan J. Cannon - College of the Holy CrossHunter Blake Carlson - University of UtahPeter J. Chabot - Hospital for Special SurgeryCharles Cogan - Cleveland ClinicMatthew R. Colatruglio - University of Tennessee Health Science CenterLisa G.M. Friedman - Rush University Medical CenterJaina A. Gaudette - Rush University Medical CenterJohn Green - Saint Louis UniversityLauren Grobaty - Cleveland ClinicMichael Gutman - Rothman OrthopaedicsJason C. Ho - Cleveland ClinicKeegan Hones - University of FloridaErmyas Kahsai - University of WashingtonJacquelyn Kakalecik - University of FloridaMitchell Kirkham - University of UtahMichael A. Kloby - University of CincinnatiElliot N. Konrade - University of Tennessee Health Science CenterMargaret C. Knack - University of Tennessee Health Science CenterTyler LaMonica - University of FloridaAmy Loveland - MedStar Union Memorial HospitalJoshua I. Mathew - Hospital for Special SurgeryEmma Merrill - University of UtahAlbert D. Mousad - The Spine InstituteLuke Myhre - University of UtahAndrew Nahr - University of Tennessee Health Science CenterJacob Nyfeler - University of UtahDoug E. Parsell - ms consultants, inc.Midhat Patel - Cleveland ClinicMarissa Pazik - University of FloridaTeja S. Polisetty - College of the Holy CrossPadmavathi Ponnuru - Pennsylvania State UniversityJohn Scanaliato - Rush University Medical CenterArden Shen - Rush University Medical CenterKarch M. Smith - University of UtahKatherine A. Sprengel - Rush University Medical CenterOcean Thakar - MedStar Union Memorial HospitalLacie Turnbull - University of FloridaAlayna Vaughan - Rothman OrthopaedicsJohn C. Wheelwright - University of UtahAnastasia Whitson - University of WashingtonAnna B. Williams - Hospital for Special SurgeryTyler Williams - Rush University Medical CenterJoseph Abboud - Rothman OrthopaedicsApril Armstrong - Pennsylvania State UniversityLuke Austin - Rothman OrthopaedicsTyler Brolin - University of Tennessee Health Science CenterVahid Entezari - Cleveland ClinicBassem Elhassan - Harvard Medical SchoolJoseph Galvin - Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IAJ. Ryan Hill - University of Arkansas for Medical SciencesGrant E. Garrigues - Rush University Medical CenterBrian Grawe - University of CincinnatiLawrence V. Gulotta - Hospital for Special SurgeryRhett Hobgood - ms consultants, inc.John G. Horneff - University of PennsylvaniaJoseph Iannotti - Cleveland ClinicJason E. Hsu - University of WashingtonMichael Khazzam - The University of Texas Southwestern Medical CenterJoseph J. King - University of FloridaJonathan C. Levy - The Spine InstituteRyan Lohre - Harvard Medical SchoolSameer Nagda - Georgetown UniversityBrendan Patterson - University of IowaAnand Murthi - MedStar Union Memorial HospitalSurena Namdari - Rothman OrthopaedicsGregory P. Nicholson - Rush University Medical CenterRandall J. Otto - Saint Louis UniversityEric T. Ricchetti - Cleveland ClinicGlen Ross - New England Baptist HospitalSarav Shah - New England Baptist HospitalThomas Throckmorton - University of Tennessee Health Science CenterThomas Wright - University of FloridaRobert Gillespie - University Hospitals Ahuja Medical CenterBenjamin W. Sears - Western Orthopedics, P.CRobert Z. Tashjian - University of UtahPeter S. Johnston - Southern Maryland Orthopaedic & Sports Medicine CenterArmodios M. Hatzidakis - Western Orthopedics, P.CASES Multicenter Research Group
- Resource Type
- Journal article
- Publication Details
- Journal of shoulder and elbow surgery
- DOI
- 10.1016/j.jse.2026.03.014
- PMID
- 41932675
- NLM abbreviation
- J Shoulder Elbow Surg
- ISSN
- 1058-2746
- eISSN
- 1532-6500
- Publisher
- Elsevier Inc
- Language
- English
- Electronic publication date
- 04/2026
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9985153393002771
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