ArticleInternational orthopaedics2021
Long-term impact of scapular notching after reverse shoulder arthroplasty.
Article in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 38 citations in OpenAlex.
- Artificial intelligence for postoperative plain radiographic assessment after reverse total shoulder arthroplasty: current evidence, clinical readiness, and limitations.Clinics in shoulder and elbow · 2026Article
- Long-Term Outcomes of Inverted-Bearing Reverse Shoulder Arthroplasty with Large Polyethylene Glenospheres.Journal of clinical medicine · 2026Article
- Review
- Outcomes of reverse total shoulder arthroplasty vs. other surgical fixation methods for proximal humerus fractures in elderly patients.JSES reviews, reports, and techniques · 2026Review
- Refining Reverse Shoulder Arthroplasty: From Implant Design to Patient-Specific Strategy.Journal of clinical medicine · 2026Article
- Absence of scapular notching in lateralized reverse shoulder arthroplasty: a mid-term clinical and radiological evaluation.JSES international · 2025Article
- Does using a low-profile inlay in a Grammont-style shoulder prosthesis decrease the risk of scapular notching?Archives of orthopaedic and trauma surgery · 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
- Dialing the glenosphere eccentricity posteriorly to optimize range of motion in reverse shoulder arthroplasty.JSES international · 2025Article
- A reduced scapulo-humeral angle contributes to the development of scapular notching in reverse total shoulder arthroplasty.International orthopaedics · 2025Article
- Full-Polyethylene Glenosphere Reverse Shoulder Arthroplasty: Functional outcomes and notching rate at mid-term follow-up.La Tunisie medicale · 2024Article
- Optimizing stability and motion in reverse shoulder arthroplasty with a 135° neck-shaft-angle: a computer model study of standard versus retentive humeral inserts.JSES international · 2024Article
- Modified notching classification in inverted-bearing and conventional-bearing reverse total shoulder arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Retrospective analysis of the subscapularis-sparing approach for reverse total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Lateralising reverse shoulder arthroplasty using bony increased offset (BIO-RSA) or increasing glenoid component diameter: comparison of clinical, radiographic and patient reported outcomes in a matched cohort.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Article
- Mini-augmented glenoid baseplate and mini-humeral tray reverse total shoulder arthroplasty implant comparisons: two-year clinical outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 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
- Baseplate inferior offset affects shoulder range of motion in reverse shoulder arthroplasty in Asian population.Journal of orthopaedic surgery and research · 2024Article
- Clinical outcomes are unchanged after a mean of 12 years after reverse shoulder arthroplasty: a long-term re-evaluation.JSES international · 2024Article
- Incidence of complications related to shoulder arthroplasties identified on computed tomography.Emergency radiology · 2023Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBecause it medializes the centre of rotation, one of the drawbacks of reverse shoulder arthroplasty (RSA) is the risk of impingement between the humerus and lateral border of the scapula resulting in scapular notching. The long-term impact of this notching is not well known, either on function or the risk of glenoid loosening. The aim of this longitudinal study was to analyze the drawbacks of this notching.
methodsBetween 1993 and 2006, 81 patients (91 shoulders) underwent RSA for primary glenohumeral osteoarthritis or massive cuff tear with or without osteoarthritis. This cohort was followed longitudinally with post-operative assessments done at one to two years (T1), three to eight years (T2), and nine+ years (T3). Before T3, 25 patients had died, nine were lost to follow-up, five had the implants changed, and seven had incomplete records. Thus, 45 shoulders were available for follow-up beyond nine years (mean follow-up of 12 years) and were used to determine the long-term impact of notching. Survival curves were generated using the occurrence of Sirveaux grade 3 or 4 notching and the presence of aseptic glenoid loosening as endpoints.
resultsThe survivorship before grade 3 or 4 notching developed was 83% at five years, 60% at 10 years, and 43% at 15 years. In the end, aseptic glenoid loosening occurred in four shoulders, all of which had developed grade 4 notching. No glenoid loosening occurred in the population with grade 0, 1, 2, or 3 notching (p = 0.02). The Constant score significantly decreased between T2 and T3, although it was not different between shoulders with and without advanced notching.
conclusionsBeyond the second year post-RSA, the number of shoulders with grade 3 or 4 notching increases steadily up to the longest follow-up. Grade 4 notching always preceded the occurrence of late glenoid loosening. The functional outcomes become significantly worse after the 9th year post-RSA, although they were not correlated to the presence of high-grade scapular notching.
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