SynthesisThe bone & joint journal2020
Effect of scapular notching on clinical outcomes after reverse total shoulder arthroplasty.
Synthesis in The bone & joint journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is reverse total shoulder arthroplasty (rTSA) more advantageous than anatomic TSA (aTSA) for osteoarthritis with intact cuff tendon? A systematic review and meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Pooled it
- Clinical and radiological outcomes following complete release of the long head of triceps in reverse shoulder arthroplasty.Shoulder & elbow · 2026Article
- Assessment of 'spin' in the abstracts of systematic reviews in leading orthopaedic surgery journals over the past 10 years: a cross-sectional methodological study.EFORT open reviews · 2026Article
- Optimizing reverse total shoulder arthroplasty for combined loss of elevation and external rotation: latissimus dorsi and teres major transfer, lateralization, or both?JSES international · 2026Article
- Routine use of patient specific instruments in reverse shoulder arthroplasty produces significant improvements in the inclination profile of the glenoid component.Shoulder & elbow · 2025Article
- Reduced scapular neck impingement in 145° neck-shaft angle semi-inlay compared with 155° neck-shaft angle inlay reverse total shoulder arthroplasty during active external rotation.JSES international · 2025Article
- Shoulder replacement in the under 55's is anatomical or reverse the best solution?EFORT open reviews · 2025Article
- Clinical, functional and radiographic outcomes of inverted-bearing reverse shoulder arthroplasty at minimum two year follow-up.JSES international · 2025Article
- Reverse versus anatomic total shoulder arthroplasty: A large matched cohort analysis.Journal of orthopaedics · 2024Article
- Development, Evolution, and Outcomes of More Anatomical Reverse Shoulder Arthroplasty.Journal of clinical medicine · 2024Review
- Demographic-, Radiographic-, and Surgery-Related Factors Do Not Affect Functional Internal Rotation Following Reverse Total Shoulder Arthroplasty: A Retrospective Comparative Study.Healthcare (Basel, Switzerland) · 2024Article
- Do the humeral radiographic changes at 5-year follow-up affect the clinical outcomes of press-fit humeral stems in primary reverse shoulder arthroplasties?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 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
- Midterm outcomes of primary reverse shoulder arthroplasty: a systematic review of studies with minimum 5-year follow-up.JSES reviews, reports, and techniques · 2024Review
- Associations between radiographic parameters in the reverse shoulder arthroplasty and patient outcomes.Shoulder & elbow · 2023Article
- Incidence of complications related to shoulder arthroplasties identified on computed tomography.Emergency radiology · 2023Article
- Image-derived instrumentation vs. conventional instrumentation with 3D planning for glenoid component placement in reverse total shoulder replacements: a randomized controlled trial.JSES international · 2023Article
- Computer-assisted analysis of functional internal rotation after reverse total shoulder arthroplasty: implications for component choice and orientation.Journal of experimental orthopaedics · 2023Article
- Implant selection for successful reverse total shoulder arthroplasty.Clinics in shoulder and elbow · 2023Article
- Narrative review of influence of prosthesis lateralization on clinical outcomes in reverse shoulder arthroplasty: glenoidAnnals of joint · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsScapular notching is thought to have an adverse effect on the outcome of reverse total shoulder arthroplasty (RTSA). However, the matter is still controversial. The aim of this study was to determine the clinical impact of scapular notching on outcomes after RTSA.
methodsThree electronic databases (PubMed, Cochrane Database, and EMBASE) were searched for studies which evaluated the influence of scapular notching on clinical outcome after RTSA. The quality of each study was assessed. Functional outcome scores (the Constant-Murley scores (CMS), and the American Shoulder and Elbow Surgeons (ASES) scores), and postoperative range of movement (forward flexion (FF), abduction, and external rotation (ER)) were extracted and subjected to meta-analysis. Effect sizes were expressed as weighted mean differences (WMD).
resultsIn all, 11 studies (two level III and nine level IV) were included in the meta-analysis. All analyzed variables indicated that scapular notching has a negative effect on the outcome of RTSA . Statistical significance was found for the CMS (WMD -3.11; 95% confidence interval (CI) -4.98 to -1.23), the ASES score (WMD -6.50; 95% CI -10.80 to -2.19), FF (WMD -6.3°; 95% CI -9.9° to -2.6°), and abduction (WMD -9.4°; 95% CI -17.8° to -1.0°), but not for ER (WMD -0.6°; 95% CI -3.7° to 2.5°).
conclusionThe current literature suggests that patients with scapular notching after RTSA have significantly worse results when evaluated by the CMS, ASES score, and range of movement in flexion and abduction. Cite this article:
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