ReviewEFORT open reviews2021
Biomechanics of anatomic and reverse shoulder arthroplasty.
Review in EFORT open reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.
- Comparative glenoid reconstruction strategies in reverse shoulder arthroplasty: a meta-analysis of standard reconstruction, bony increased offset, and metal-augmented increased offset techniques.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Anatomic versus reverse total shoulder replacement with an intact rotator cuff: a comparative musculoskeletal simulation study of glenohumeral joint biomechanics.Arthroplasty (London, England) · 2026Article
- Comparison of DSA and LSA angle measurements in postoperative radiographs and computed tomography of patients with reverse total shoulder arthroplasty.Skeletal radiology · 2026Article
- Mixed reality with real-time navigation grants low deviations from planned inclination and version of the glenoid for reverse total shoulder arthroplasty.JSES international · 2026Article
- Prognostic value of the Neer and Mayo-Fundacion Jimenez Diaz classifications in reverse shoulder arthroplasty for proximal humerus fractures.JSES reviews, reports, and techniques · 2026Article
- Does lateralization and distalization affect revision rates and patient experience in primary stemmed reverse total shoulder arthroplasty?JSES international · 2026Article
- Anterior Latissimus Dorsi and Teres Major Tendon Transfer with Total Shoulder Arthroplasty in the Setting of Subscapularis Insufficiency: A Case Report.Journal of orthopaedic case reports · 2026Article
- Prior cervical spine fusion impairs early clinical outcomes following total shoulder arthroplasty and may be associated with increased fusion burden: a matched cohort analysis.JSES international · 2026Article
- Accuracy of implant placement after preoperative planning using Blueprint software in inlay and onlay reverse total shoulder arthroplasty systems: a cadaver study.Journal of shoulder and elbow surgery · 2026Article
- Fewer major complications but more pain in reverse shoulder arthroplasty compare with open reduction internal fixation in closed proximal humerus fracture: a National database study.Journal of orthopaedic surgery and research · 2026Article
- Novel CT-based simulation reveals anterolateral surgical approach avoids acromial collision in antegrade humeral nailing.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Influence of the level and strategy of glenoid component lateralization on the postoperative biomechanics of shoulder arthroplasty: a finite element analysis.JSES international · 2026Article
- Glenohumeral Instability and Clinical Outcomes Following Proximal Humerus Resection and Megaprosthesis Implantation: A Systematic Review.Journal of clinical medicine · 2025Review
- Stemless shoulder arthroplasty: what are the benefits?JSES reviews, reports, and techniques · 2025Review
- The distal acromial tip fusion: a novel procedure to mitigate acromial stress fractures in high-risk patients undergoing reverse shoulder arthroplasty.JSES international · 2025Article
- Clinical accuracy of humeral and glenoid component placement in total shoulder arthroplasty using ASTRA patient-specific guides.JSES international · 2025Article
- Investigation of the association between shoulder flexion range of motion and deltoid and trapezius muscle activity after reverse total shoulder arthroplasty.Journal of physical therapy science · 2025Article
- Early mobilisation versus delayed protocols after reverse total shoulder arthroplasty for nonfracture indications: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2025Review
- Glenohumeral osteoarthritis and reverse shoulder replacement.JSES international · 2025Review
- Do shoulder kinematics change after reverse total shoulder arthroplasty?JSES international · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The biomechanics of the shoulder relies on careful balancing between stability and mobility. A thorough understanding of normal and degenerative shoulder anatomy is necessary, as the goal of anatomic total shoulder arthroplasty is to reproduce premorbid shoulder kinematics.With reported joint reaction forces up to 2.4 times bodyweight, failure to restore anatomy and therefore provide a stable fulcrum will result in early implant failure secondary to glenoid loosening.The high variability of proximal humeral anatomy can be addressed with modular stems or stemless humeral components. The development of three-dimensional planning has led to a better understanding of the complex nature of glenoid bone deformity in eccentric osteoarthritis.The treatment of cuff tear arthropathy patients was revolutionized by the arrival of Grammont's reverse shoulder arthroplasty. The initial design medialized the centre of rotation and distalized the humerus, allowing up to a 42% increase in the deltoid moment arm.More modern reverse designs have maintained the element of restored stability but sought a more anatomic postoperative position to minimize complications and maximize rotational range of motion. Cite this article:
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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.