ReviewEFORT open reviews2022
Understanding shoulder pseudoparalysis: Part I: Definition to diagnosis.
Review in EFORT open reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 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
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Clinical Outcomes and Complications of Superior Capsular Reconstruction Versus Reverse Shoulder Arthroplasty for Massive Rotator Cuff Tears: A Meta-Analysis.Clinics in orthopedic surgery · 2026Pooled it
- Evaluation of muscle strength recovery following reverse total shoulder arthroplasty versus superior capsular reconstruction using tensor fascia lata graft in patients with irreparable rotator cuff tears.JSES international · 2026Article
- Partial repair versus superior capsular reconstruction: comparable mid-term outcomes in non-pseudoparalytic massive irreparable rotator cuff tears.BMC musculoskeletal disorders · 2026Article
- Forgotten Shoulder ASAP-22: a scapula-inclusive shoulder ecosystem PROM-Pilot study in reverse total shoulder arthroplasty and related pathologies.JSES international · 2025Article
- Latissimus Dorsi Transfer Combined With Dynamic Biceps Rerouting for Massive Irreparable Rotator Cuff Tear.Arthroscopy techniques · 2025Article
- Superior Capsular Reconstruction Using the Long Head of the Biceps Tendon for Large to Massive Rotator Cuff Tears with Pseudoparalysis: A Prospective Clinical Study.International orthopaedics · 2025Article
- A combined anterior and posterior cuff transfer: a novel technique for massive irreparable rotator cuff tears.Musculoskeletal surgery · 2025Article
- Preoperative external rotation lag sign doesn't diminish the efficacy of arthroscopy-assisted lower trapezius tendon transfer in posterosuperior irreparable rotator tears.Journal of orthopaedics · 2025Article
- Latissimus dorsi transfer or lower trapezius transfer: a treatment algorithm for irreparable posterosuperior rotator cuff tears muscles transfers in posterosuperior rotator cuff tears.JSES international · 2025Article
- Does the Extent of Tear Influence Pseudoparesis in Patients With Isolated Subscapularis Tears?Clinical orthopaedics and related research · 2024Article
- Proximal humerus reconstruction in reverse total shoulder arthroplasty with proximal humeral bone loss using a lower trapezius tendon transfer with Achilles tendon-bone allograft: surgical technique and report of 2 cases.JSES international · 2024Article
- Estimating the minimal clinically important difference of shoulder functional scores after arthroscopic rotator cuff repair: a prospective study.Archives of orthopaedic and trauma surgery · 2024Article
- High degree of consensus on diagnosis and management of rotator cuff tears: a Delphi approach.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Review
- The Evolution of Reverse Total Shoulder Arthroplasty-Where Do We Stand and What Comes Next?Journal of clinical medicine · 2023Article
- Challenges for Optimization of Reverse Shoulder Arthroplasty Part I: External Rotation, Extension and Internal Rotation.Journal of clinical medicine · 2023Review
- Long-Term Results of Primary Reverse Shoulder Arthroplasty for Massive, Irreparable Rotator Cuff Tears Without Glenohumeral Arthritis with a Mean Follow up of 9.4 Years.Journal of shoulder and elbow arthroplasty · 2023Article
- Latissimus Dorsi Transfer Combined with Subacromial Balloon Spacer for Bidirectional Rotator Cuff Deficiency.Arthroscopy techniques · 2022Article
- Understanding shoulder pseudoparalysis. Part II: Treatment.EFORT open reviews · 2022Review
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 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Variable definitions of pseudoparalysis have been used in the literature. Recent systematic reviews and biomechanical studies call for a grading of loss of force couple balance and the use of the terms 'pseudoparesis' and 'pseudoparalysis'. Pain should be excluded as the cause of loss of active function. Key players for loss of force couple balance seem to be the lower subscapularis as an anterior inferior checkrein and the teres minor as a posterior inferior fulcrum. Loss of three out of five muscle-tendon units counting upper and lower subscapularis separately is predictive of pseudoparalysis. Shoulder equator concept: loss of all three posterior, or all three superior, or all three anterior muscle-tendon units is predictive of pseudoparalysis (loss of fulcrum for deltoid force). Every effort should be made to prevent propagation of rotator cuff tears into the subscapularis and posterior rotator cuff (infraspinatus and teres minor) to maintain force couple balance (value of partial cuff repair). Clinical assessment of active forward elevation, active external rotation, and active internal rotation is important to define and grade the severity of loss of force couple balance. Additional features such as patient age, traumatic aetiology, chronicity, fatty infiltration, and stage of cuff tear arthropathy are useful for a specific diagnosis with implications for treatment.
Indexed as
Identifiers
What OpenQuestion holds
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.