ReviewJournal of clinical medicine2022
Factors Influencing Acromial and Scapular Spine Strain after Reverse Total Shoulder Arthroplasty: A Systematic Review of Biomechanical Studies.
Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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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.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
- Lower Geriatric Nutritional Risk Index is associated with increased risk of acromial stress fracture following reverse total shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026Article
- Does excessive lateralization influence tuberosity healing in reverse total shoulder arthroplasty for proximal humeral fractures?JSES international · 2026Article
- Acromial Stress Fractures in Reverse Total Shoulder Arthroplasty: Diagnosis, Prevention, and Treatment.Current reviews in musculoskeletal medicine · 2026Review
- Influence of the level and strategy of glenoid component lateralization on the postoperative biomechanics of shoulder arthroplasty: a finite element analysis.JSES international · 2026Article
- The distal acromial tip fusion: a novel procedure to mitigate acromial stress fractures in high-risk patients undergoing reverse shoulder arthroplasty.JSES international · 2025Article
- Medial acromion fractures following reverse shoulder arthroplasty: surgical technique for open reduction and internal fixation.JSES reviews, reports, and techniques · 2025Article
- Article
- Coracoacromial ligament integrity influences scapular spine strain after reverse shoulder arthroplasty.JSES international · 2025Article
- Can Distalisation and Lateralisation Shoulder Angles in Reverse Arthroplasty Interfere with the Functional Results in Patients with Rotator Cuff Arthropathy?Revista brasileira de ortopedia · 2024Article
- Influence of acromioclavicular joint arthritis on outcomes after reverse total shoulder.JSES international · 2024Article
- The Evolution of Reverse Total Shoulder Arthroplasty-Where Do We Stand and What Comes Next?Journal of clinical medicine · 2023Article
- Prior Acromioplasty Provides Similar Outcomes and Rate of Postoperative Complications Including Acromial Fracture After Reverse Total Shoulder Arthroplasty: A Retrospective Matched-Cohort Analysis.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Narrative review of influence of prosthesis lateralization on clinical outcomes in reverse shoulder arthroplasty: glenoidAnnals of joint · 2023Review
- Intraoperative and early postoperative complications of reverse shoulder arthroplasty: A current concepts review.Journal of orthopaedics · 2023Review
- Acromial and Scapular Spine Fractures following Reverse Total Shoulder Arthroplasty-A Systematic Review of Fixation Constructs and Techniques.Journal of clinical medicine · 2022Review
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcromial and scapular spine fractures after reverse total shoulder arthroplasty (RTSA) can be devastating complications leading to substantial functional impairments. The purpose of this study was to review factors associated with increased acromial and scapular spine strain after RTSA from a biomechanical standpoint.
methodsA systematic review of the literature was conducted based on PRISMA guidelines. PubMed, Embase, OVID Medline, and CENTRAL databases were searched and strict inclusion and exclusion criteria were applied. Each article was assessed using the modified Downs and Black checklist to appraise the quality of included studies. Study selection, extraction of data, and assessment of methodological quality were carried out independently by two of the authors. Only biomechanical studies were considered.
resultsSix biomechanical studies evaluated factors associated with increased acromial and scapular spine strain and stress. Significant increases in acromial and scapular spine strain were found with increasing lateralization of the glenosphere in four of the included studies. In two studies, glenosphere inferiorization consistently reduced acromial strain. The results concerning humeral lateralization were variable between four studies. Humeral component neck-shaft angle had no significant effect on acromial strain as analysed in one study. One study showed that scapular spine strain was significantly increased with a more posteriorly oriented acromion (55° vs. 43°;
conclusionsGlenoid lateralization was consistently associated with increased acromial and scapular spine strain, whereas inferiorization of the glenosphere reduced strain in the biomechanical studies analysed in this systematic review. Humeral-sided lateralization may increase or decrease acromial or scapular spine strain. Independent of different design parameters, the transection of the coracoacromial ligament resulted in significantly increased strains and scapular spine strains were also increased when the acromion was more posteriorly oriented. The results found in this systematic review of biomechanical in-silico and in-vitro studies may help in the surgical planning of RTSA to mitigate complications associated with acromion and scapular spine fracture.
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