ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2022
Anterior deltoid muscle tension quantified with shear wave ultrasound elastography correlates with pain level after reverse shoulder arthroplasty.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Artificial intelligence-driven preoperative CT 3D planning: a narrative review on improving the accuracy of acetabular cup angle and size in total hip arthroplasty.Frontiers in artificial intelligence · 2026Pooled it
- Sex-associated differences in deltoid and rotator cuff muscle elongation after reverse shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026Article
- Evaluation of Stiffness in the Tensor Fasciae Latae and Iliotibial Band After Direct Anterior Approach Total Hip Arthroplasty.Arthroplasty today · 2026Article
- Shear Wave Elastography of the Brachial Plexus and Target Muscle in Interscalene Block: A Narrative Review of Quantitative Tools for Patient-Centered Regional Anesthesia.Journal of clinical medicine · 2026Review
- Acromion to greater tuberosity distance as a predictor of functional outcomes after reverse shoulder arthroplasty.Clinics in shoulder and elbow · 2026Article
- Acromion to greater tuberosity distance: a simple radiographic key to unlocking optimal deltoid tension in reverse shoulder arthroplasty.Clinics in shoulder and elbow · 2026Article
- Can MyotonPRO Be Used to Assess the Muscles Surrounding the Shoulder Joint in Patients Who Have Undergone Arthroscopic Rotator Cuff Repair (ARCR) and Reverse Shoulder Arthroplasty (RSA)? A Review of the Current Evidence.Journal of clinical medicine · 2026Review
- The Impact of Critical Shoulder Angle during Reverse Total Shoulder Arthroplasty: Is It Helpful?Clinics in orthopedic surgery · 2025Article
- Effect of humeral lengthening on post-operative pain scores by three-dimensional measurements in patients undergoing reverse shoulder arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Quantified Deltoid Muscle Stiffness Can Predict Improved Muscle Strength for Elevation Following Reverse Shoulder Arthroplasty.Journal of clinical medicine · 2024Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionReverse shoulder arthroplasty (RSA) leads to medialization and distalization of the centre of rotation of the shoulder joint resulting in lengthening of the deltoid muscle. Shear wave ultrasound elastography (SWE) is a reliable method for quantifying tissue stiffness. The purpose of this study was to analyse if deltoid muscle tension after RSA correlates with the patients' pain level. We hypothesized that higher deltoid muscle tension would be associated with increased pain. MATERIAL AND
methodsEighteen patients treated with RSA were included. Constant score (CS) and pain level on the visual analogue scale (VAS) were analysed and SWE was performed on both shoulders. All three regions of the deltoid muscle were examined in resting position and under standardized isometric loading.
resultsAverage patient age was 76 (range 64-84) years and average follow-up was 15 months (range 4-48). The average CS was 66 points (range 35-89) and the average pain level on the VAS was 1.8 (range 0.5-4.7). SWE revealed statistically significant higher muscle tension in the anterior and middle deltoid muscle region in patients after RSA compared to the contralateral non-operated side. There was a statistically significant correlation between pain level and anterior deltoid muscle tension.
conclusionSWE revealed increased tension in the anterior and middle portion of the deltoid muscle after RSA in a clinical setting. Increased tension of the anterior deltoid muscle portion significantly correlated with an increased pain level. SWE is a powerful, cost-effective, quick, dynamic, non-invasive, and radiation-free imaging technique to evaluate tissue elasticity in the shoulder with a wide range of applications. LEVEL OF EVIDENCE: Diagnostic study, Level III.
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