ReviewShoulder & elbow2020
Acromial fracture after reverse total shoulder arthroplasty: a systematic review.
Review in Shoulder & elbow, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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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.
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.
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Who cites it
25 citing papers in PubMed, 42 citations in OpenAlex.
- Lower Geriatric Nutritional Risk Index is associated with increased risk of acromial stress fracture following reverse total shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026Article
- Outcomes of operative and non-operative management of acromial and scapular spine fractures after reverse shoulder arthroplasty: a systematic review.Journal of shoulder and elbow arthroplasty · 2026Review
- Anatomic shoulder arthroplasty: a single surgeon's consecutive series of four hundred and fifty eight patients.International orthopaedics · 2026Article
- Zone-specific acromial cortical thickening after reverse shoulder arthroplasty.International orthopaedics · 2026Article
- Acromial Stress Fractures in Reverse Total Shoulder Arthroplasty: Diagnosis, Prevention, and Treatment.Current reviews in musculoskeletal medicine · 2026Review
- Acromion type III scapular spine nonunion open reduction internal fixation with distal clavicular and pelvic plates.JSES reviews, reports, and techniques · 2026Article
- Biomechanical evaluation of acromion and scapular spine fracture repair techniques systematic review.JSES reviews, reports, and techniques · 2026Article
- [Periprosthetic glenoid and acromial fractures after primary shoulder arthroplasty : Diagnosis, treatment, and revision strategies].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Identifying surgeon-controlled factors associated with acromial fractures after reverse total shoulder arthroplasty: a case-control approach for individual surgeons.International orthopaedics · 2026Article
- Risk factors for acromial and scapular fractures following reverse shoulder arthroplasty: a meta-analysis of over 100,000 shoulders.JSES reviews, reports, and techniques · 2026Review
- Functional outcomes and complications of classic grammont-style reverse shoulder arthroplasty in patients with os acromiale: a retrospective case-control study.International orthopaedics · 2025Article
- Article
- CORR Insights®: Acquired Acromion Compromise, Including Thinning and Fragmentation, Is Not Associated With Poor Outcomes After Reverse Shoulder Arthroplasty.Clinical orthopaedics and related research · 2024Article
- Cuff Arthropathy, Scapular Spine Fracture Non-union, and Instability: Open Reduction, Internal Fixation & Simultaneous Reversed Shoulder Arthroplasty - A Case Report.Journal of orthopaedic case reports · 2024Article
- Finite element analysis part 2 of 2: Glenohumeral bone stress distribution depends on implant configuration for anatomic and reverse stemless shoulder implants.Journal of experimental orthopaedics · 2024Article
- Article
- Update on Shoulder Arthroplasties with Emphasis on Imaging.Journal of clinical medicine · 2023Review
- Reverse shoulder arthroplasty using an onlay humeral prosthesis, offset humeral tray, and augmented glenoid baseplate: surgical technique and review of the impact of prosthesis design on scapular fractures following reverse shoulder arthroplasty.JSES reviews, reports, and techniques · 2023Article
- Prior Acromioplasty Provides Similar Outcomes and Rate of Postoperative Complications Including Acromial Fracture After Reverse Total Shoulder Arthroplasty: A Retrospective Matched-Cohort Analysis.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Arthroscopic Excision for Painful Acromial Fracture Nonunion After Reverse Total Shoulder Replacement.Arthroscopy techniques · 2022Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe reverse total shoulder arthroplasty has become the most common method of arthroplasty of the shoulder. The complication of acromial or scapular stress fracture deserves consideration to describe incidence and determine whether prosthetic design or patient factors act as risk factors.
methodsA systematic review of the literature was performed including the EMBASE, Medline and the Cochrane Library in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
resultsThe search returned 565 articles. After exclusion, 25 papers remained. In total, 208 fractures were reported in the literature, with an overall incidence of 5% and stress fractures were more common than post-traumatic ones; 24 fractures underwent osteosynthesis and there were nine revision arthroplasty surgeries. Outcomes worsened after fracture - whether treated with surgery or not. In patients with scapular base fractures, there was an improvement in functional outcome scores after surgery. Heterogeneous reporting of the risk factors prior to fractures, treatment methods and outcomes made recommendations weak. DISCUSSION: Acromial stress fracture after reverse total shoulder arthroplasty occurs relatively commonly but is poorly reported in the literature. It is unclear whether immobilisation, fixation or revision arthroplasty is the best treatment, although fixation may offer a better outcome. In future, reports should aim for greater consistency to allow a better understanding of this condition.
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Registered trials
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.