Evidence map›Paper›PMID 34236460›Full record

Trial reportArchives of orthopaedic and trauma surgery2023

Results after primary reverse shoulder arthroplasty with and without subscapularis repair: a prospective-randomized trial.

Nina Myline Engel, Malte Holschen, Domink Schorn, Kai-Axel Witt, Jörn Steinbeck

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.9field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Rotator cuff sparing approach for shoulder arthroplasty.JSES reviews, reports, and techniques · 2026
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  7. Review
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  14. Outcomes of Reverse Total Shoulder Arthroplasty for Proximal Humerus Fracture Versus Rotator Cuff Arthropathy.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023
    Article
  15. Review
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Nina Myline EngelDepartment of Orthopedic Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149, Muenster, Germany. ninamyline.engel@uk-essen.de.ORCID http://orcid.org/0000-0003-1934-2118
Malte HolschenOPPK Muenster, Muenster, Germany.
Domink SchornParacelsus-Klinik Bremen, Bremen, Germany.
Kai-Axel WittOPPK Muenster, Muenster, Germany.
Jörn SteinbeckOPPK Muenster, Muenster, Germany.
Krankenhaus St. Joseph-Stift Bremen · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIndications for reverse shoulder arthroplasties (rTSA) have increased since their development by Paul Grammont in 1985. Prosthesis design was enhanced over time, but the management of the tendon of the M. subscapularis (SSC-tendon) in primary rTSA is still a controversial subject with regard to perform a refixation or not.

methods50 patients were randomized in a refixation group (A) and a non-refixation-group (B) of the SSC-tendon in a double-blinded fashion. SSC-function was assessed at baseline before surgery, such as 3 and 12 months after surgery. Constant-Murley-Shoulder Score (CS), American Shoulder and Elbow Surgeons Score (ASES), strength, range of motion (ROM), and pain on numeric rating scale (NRS) were measured in all examinations. An ultrasound examination of the shoulder was performed for evaluation of subscapularis tendon integrity at 3 and 12 month follow-up visits. Pain was evaluated on NRS via phone 5 days after surgery. Surgery was performed by a single experienced senior surgeon in all patients.

resultsPatients with a refixation of the SSC-tendon and primary rTSA had improved internal rotation [40° (20°-60°) vs. 32° (20°-45°); p = 0.03] at 12 months of follow-up. Additionally, the A-group had increased CS [74 (13-90) vs. 69.5 (40-79); p = 0.029] 1 year after surgery. Results were strengthened by subgroup analysis of successful refixation in ultrasound examination vs. no refixation. No differences were seen in ASES and NRS 1 year after rTSA.

conclusionSSC-tendon repair in rTSA improves CS and internal rotation 12 months after surgery.

Indexed as

Arthroplasty, Replacement, ShoulderShoulder JointHumansPainProspective StudiesRange of Motion, ArticularRetrospective StudiesRotator CuffTreatment OutcomeProspective trialReverse shoulder arthroplastyrTSAShoulderShoulder arthroplastySubscapularis

Identifiers

PMID34236460
PMCPMC9886633
OpenAlexW3179015369

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.