ArticleJSES international2021
Factors influencing functional internal rotation after reverse total shoulder arthroplasty.
Article in JSES international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Long head of the biceps tendon patch augmentation improves external rotation after reverse shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026Article
- Relationship between implant positioning and post-operative scapulohumeral rhythm following reverse total shoulder arthroplasty.JSES international · 2026Article
- Reverse shoulder arthroplasty combined with anterior latissimus dorsi and teres major transfer for restoration of internal rotation in cuff tear arthropathy: a technical note.JSES reviews, reports, and techniques · 2026Article
- Exploratory analysis of shoulder motion strategies for achieving functional hand behind the back in controls and after reverse shoulder arthroplasty. A study from the LaTour group.International orthopaedics · 2026Article
- Preoperative Radiographic Thoracic Kyphosis Relates to Scapular Internal Rotation but Not Anterior Tilt in Candidates for Reverse Shoulder Arthroplasty: A Retrospective Radiographic Analysis from the FP-UCBM Shoulder Study Group.Journal of clinical medicine · 2025Article
- Assessing the accuracy of a machine learning prediction for 2 different shoulder prostheses: an external validation study.JSES international · 2025Article
- Return to yoga following anatomic or reverse total shoulder arthroplasty.JSES international · 2025Article
- Does glenosphere size impact shoulder rotational range of motion after reverse shoulder arthroplasty? A retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Anatomic versus reverse shoulder replacement: Are we asking the right questions and what are the answers?Journal of hand and microsurgery · 2025Review
- Mid-Term Outcomes of a Rectangular Stem Design with Metadiaphyseal Fixation and a 135° Neck-Shaft Angle in Reverse Total Shoulder Arthroplasty.Journal of clinical medicine · 2025Article
- Repairability of the subscapularis tendon in reverse shoulder prosthesis according to radiological findings.Shoulder & elbow · 2025Article
- Increased glenoid baseplate retroversion improves internal rotation following reverse shoulder arthroplasty.JSES international · 2025Article
- Understanding loss of internal rotation after reverse shoulder arthroplasty: a narrative review of current literature.JSES reviews, reports, and techniques · 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
- Reverse shoulder arthroplasty with a 155° neck-shaft angle inlay implant design without reattachment of the subscapularis tendon results in satisfactory functional internal rotation and no instability: a cohort study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Article
- The risk of revision is higher following shoulder hemiarthroplasty compared with total shoulder arthroplasty for osteoarthritis: a matched cohort study of 11,556 patients from the National Joint Registry, UK.Acta orthopaedica · 2024Article
- Glenoid lateralization and subscapularis repair are independent predictive factors of improved internal rotation after reverse shoulder arthroplasty.International orthopaedics · 2024Article
- Internal Rotation Measurements: Correlation between Vertebral Body Level and Goniometer Measurements on Functional Outcome Scores.The archives of bone and joint surgery · 2024Article
- High and low performers in internal rotation after reverse total shoulder arthroplasty: a biplane fluoroscopic study.Journal of shoulder and elbow surgery · 2023Article
- Computer-assisted analysis of functional internal rotation after reverse total shoulder arthroplasty: implications for component choice and orientation.Journal of experimental orthopaedics · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFunctional internal rotation (fIR) of the shoulder is frequently limited after reverse shoulder arthroplasty (RTSA). The objective of this study was to study a cohort of satisfied patients after RTSA who had comparable active mobility except for fIR and to identify factors associated with selective loss of fIR.
methodsA retrospective cohort study was conducted to compare 2 patient groups with either poor (≤ 2 points in the Constant-Murley score [CS]) or excellent (≥8 points in CS) fIR after RTSA at a minimum follow-up of 2 years. Influencing factors (demographic, surgical or implant related, radiographic parameters) and clinical outcome were analyzed.
resultsFifty-two patients with a mean age of 72.8 (±9.3) and a mean follow-up of 41 months were included in the IR≤2 group and 63 patients with a mean age of 72.1 (±8.0) and a mean follow-up of 59 months in the IR≥8 group. All patients had undergone RTSA with the same implant type and only 2 different glenosphere sizes (36 and 40) for comparable indications. A multivariate analysis identified the following significant risk factors for poor postoperative fIR: poor preoperative fIR (pts in CS: 3 [range: 2-6] vs. 6 [range: 4-8],
conclusionIndependent risk factors for poor postoperative fIR after RTSA are poor preoperative fIR, smoking, male gender, less preoperative to postoperative distalization of the greater tuberosity, a thin humeral insert height, and a high American Society of Anesthesiologists score. Except for male gender, these factors are modifiable. These findings may be a valuable addition to patient counselling as well as preoperative planning and preoperative and intraoperative decision-making. The relevance of fIR for overall satisfaction is substantiated by this study.
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