ArticleInternational orthopaedics2019
The role of the subscapularis tendon in a lateralized reverse total shoulder arthroplasty: repair versus nonrepair.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- The role of subscapularis repair following reverse shoulder arthroplasty: systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part II-problems and reinterventions.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Pooled it
- Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties: a systematic review (part I-complications).Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Pooled it
- Results after primary reverse shoulder arthroplasty with and without subscapularis repair: a prospective-randomized trial.Archives of orthopaedic and trauma surgery · 2023Trial
- Relationship between implant positioning and post-operative scapulohumeral rhythm following reverse total shoulder arthroplasty.JSES international · 2026Article
- Radiographic assessment of reverse shoulder arthroplasty: a narrative review of post-operative parameters and measurements.JSES reviews, reports, and techniques · 2026Review
- Article
- Anterior sling with hamstring autograft for recalcitrant reverse shoulder arthroplasty instability.International journal of surgery case reports · 2026Article
- Concomitant subscapularis tendon repair in reverse total shoulder arthroplasty and assessment of superior migration of reattachment: a cadaveric biomechanical study.Clinics in shoulder and elbow · 2026Article
- Refining Reverse Shoulder Arthroplasty: From Implant Design to Patient-Specific Strategy.Journal of clinical medicine · 2026Article
- Do subscapularis integrity and posterosuperior cuff tear severity affect scapular impingement and joint stability during external rotation in lateralized reverse total shoulder arthroplasty? : medialization versus lateralization.Bone & joint research · 2026Article
- Secondary pectoralis major transfer for subscapularis insufficiency after reverse total shoulder arthroplasty: a six-case series stratified by instability versus internal rotation weakness.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Comparison of Anterior Muscle Sparing (AMS) approach and conventional subscapularis tenotomy - repair for deltopectoral approach in reverse shoulder arthroplasty: is there more complications and implant malposition?International orthopaedics · 2025Article
- Combined Reverse Total Shoulder Arthroplasty with pectoralis major transfer for rotator cuff arthropathy: technical note.JSES reviews, reports, and techniques · 2025Article
- Clinical outcome of combined reverse total shoulder arthroplasty combined with pectoralis major transfer for rotator cuff arthropathy: a preliminary study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Subscapularis CT-Scan Evaluation in Patients with Proximal Humerus Fracture: Reverse Total Shoulder Arthroplasty Versus Hemi-Arthroplasty.Journal of clinical medicine · 2025Article
- Risk factors associated with pain while sleeping on the affected shoulder after primary reverse shoulder arthroplasty.Clinics in shoulder and elbow · 2025Article
- Deltopectoral approach without subscapularis detachment for reverse shoulder arthroplasty. Technique and results of a safe and reproducible subscapularis-sparing approach.JSES reviews, reports, and techniques · 2025Article
- Pectoralis Major Transfer For Anterior Recurrent Dislocation of Reverse Total Shoulder Arthroplasty: A Case Report.Journal of orthopaedic case reports · 2024Article
- [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 · 2024Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe reverse shoulder prost hesis (rTSA) is now implanted by the same percentage of anatomic shoulder prosthesis in the USA. Scapular notching and loss of extrarotation have been underlined as complication at long-term follow-up due to the Grammont design. The current trend to reduce those limits is to position both components lateralized. As the role of the subscapularis tendon in this new rTSA design is unclear, the purpose of this study is to quantify rTSA outcomes in patients with or without subscapularis tendon suture.
methodsThe surgery was performed by the same orthopaedic surgeon (F.F.), using a Aequalis Ascend™ Flex prosthesis (Tornier, Montbonnot, France) with a bone autograft. Forty-four patients underwent surgery with the tendon sutured, whereas 40 patients underwent the same surgery without repairing it. Patients were evaluated pre-operatively and at the last follow-up using Constant score, VAS, and ROM. The minimum and mean follow-ups were six and 16.6 months, respectively.
resultsAll patients showed statistically significant improvement in pain and joint function following surgery. This study highlighted significant higher values in intrarotation and abduction, respectively, with and without suturing the subscapularis tendon. However, no significant differences were underlined in Constant score, VAS, forward flexion, extrarotation at 0° and 90° of abduction, and rate of instability.
conclusionsAs predicted, significant clinical improvements were observed in both groups with some differences. These clinical results showed that the use of rTSA with lateralized humerus and bony increase offset leads to realistic clinical improvements with a low risk of instability without the need for compression and stabilization of the tendon.
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