Evidence map›Paper›PMID 28409200›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018

Return to sport after shoulder arthroplasty: a systematic review and meta-analysis.

Joseph N Liu, Michael E Steinhaus, Grant H Garcia, Brenda Chang, Kara Fields, David M Dines, Russell F Warren, Lawrence V Gulotta

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Return to sport after surgical treatment for high-grade (Rockwood III-VI) acromioclavicular dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Arthroplasty and Tennis: A Narrative Review.Orthopaedic journal of sports medicine · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. [Influencing factors on effectiveness of reverse total shoulder arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Joseph N LiuDepartment of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, USA. LiuJ@hss.edu.
Michael E SteinhausDepartment of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, USA.
Grant H GarciaDepartment of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, USA.
Brenda ChangHealthcare Research Institute, Hospital for Special Surgery, New York, NY, USA.
Kara FieldsHealthcare Research Institute, Hospital for Special Surgery, New York, NY, USA.
David M DinesSports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, USA.
Russell F WarrenSports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, USA.
Lawrence V GulottaSports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, USA.
Hospital for Special Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWith increasing incidence and indications for shoulder arthroplasty, there is an increasing emphasis on the ability to return to sports. The main goal of this study was to determine the rate of return to sport after shoulder arthroplasty.

methodsThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed to perform this systematic review and meta-analysis. A search was performed on MEDLINE, Scopus, EMBASE, and the Cochrane Library. The quality of the included studies was evaluated according to the Methodological Index for Nonrandomized Studies checklist. The main judgement outcome was the rate of return to sports activity after shoulder arthroplasty and the level of play upon return (identical or higher/lower level).

resultsThirteen studies were reviewed, including 944 patients (506 athletes), treated with shoulder arthroplasty at an average follow-up of 5.1 years (range, 0.5-12.6 years). The most common sports were swimming (n = 169), golf (n = 144), fitness sports (n = 71), and tennis (n = 63). The overall rate of return to sport was 85.1% (95% CI, 76.5-92.3%), including 72.3% (95% CI, 60.6-82.8%) returning to an equivalent or improved level of play, after 1-36 months. Patients undergoing anatomic total shoulder arthroplasty returned at a significantly higher rate (92.6%) compared to hemiarthroplasty (71.1%, p = 0.02) or reverse total shoulder arthroplasty (74.9%, p = 0.003).

conclusionMost patients are able to return to one or more sports following shoulder arthroplasty, with anatomic total shoulder arthroplasty having the highest rate of return. LEVEL OF EVIDENCE: IV.

Indexed as

Return to SportArthroplasty, Replacement, ShoulderAthletic InjuriesHemiarthroplastyHumansJoint DiseasesRetrospective StudiesShoulder InjuriesShoulder JointTreatment OutcomeMeta-analysisReturn to sportReverse total shoulder replacementShoulder arthroplastyShoulder hemiarthroplastySystematic reviewTotal shoulder replacement

Identifiers

PMID28409200
OpenAlexW2605735136

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.