Evidence map›Paper›PMID 37074371›Full record

ArticleArchives of orthopaedic and trauma surgery2023

Navigation in reverse shoulder arthroplasty: how the lateralization of glenosphere can affect the clinical outcome.

Luigi Tarallo, Andrea Giorgini, Gianmario Micheloni, Marta Montanari, Giuseppe Porcellini, Fabio Catani

Open access · bronzeAbstract read
In one paragraph

Article 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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  8. Review
  9. Article
  10. Lateralisation in reverse shoulder arthroplasty - A narrative review.Journal of clinical orthopaedics and trauma · 2025
    Article
  11. Review
  12. Article
  13. Article
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

6 authors at 1 institution in 1 country.

Luigi TaralloOrthopedics and Traumatology Department, University of Modena and Reggio Emilia - Modena, Via del Pozzo 71, 41125, Modena, Italy. luigi.tarallo@unimore.it.ORCID http://orcid.org/0000-0002-7999-8154
Andrea GiorginiOrthopedics and Traumatology Department, University of Modena and Reggio Emilia - Modena, Via del Pozzo 71, 41125, Modena, Italy.
Gianmario MicheloniOrthopedics and Traumatology Department, University of Modena and Reggio Emilia - Modena, Via del Pozzo 71, 41125, Modena, Italy.
Marta MontanariOrthopedics and Traumatology Department, University of Modena and Reggio Emilia - Modena, Via del Pozzo 71, 41125, Modena, Italy.
Giuseppe PorcelliniOrthopedics and Traumatology Department, University of Modena and Reggio Emilia - Modena, Via del Pozzo 71, 41125, Modena, Italy.
Fabio CataniOrthopedics and Traumatology Department, University of Modena and Reggio Emilia - Modena, Via del Pozzo 71, 41125, Modena, Italy.
University of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOne of the main causes of RSA failure is attributable to the malpositioning of the glenoid component. Initial experiences with computer-assisted surgery have shown promising results in increasing the accuracy and repeatability of placement of the glenoid component and screws. The aim of this study was to evaluate the functional clinical results, in terms of joint mobility and pain, by correlating them with intraoperative data regarding the positioning of the glenoid component. The hypothesis was that the lateralization more than 25 mm of the glenosphere can led to better stability of the prosthesis but should pay in term of a reduced range of movement and increased pain. MATERIALS AND

methods50 patients were enrolled between October 2018 and May 2022; they underwent RSA implantation assisted by GPS navigation system. Active ROM, ASES score and VAS pain scale were recorded before surgery. Preoperative data about glenoid inclination and version were collected by pre-op X-Rays an CT. Intraoperative data-inclination, version, medialization and lateralization of the glenoid component-were recorded using computer-assisted surgery. 46 patients had been further clinically and radiographically re-evaluated at 3-months, 6-months, 1-year, and 2-years follow-up.

resultsWe found a statistically significant correlation between anteposition and glenosphere lateralization value (DM - 6.057 mm; p = 0.043). Furthermore a statistically significant correlation has been shown between abduction movement and the lateralization value (DM - 7.723 mm; p = 0.015). No other statistically significant associations were found when comparing the values of glenoid inclination and version with the range of motion achieved by the patients after reverse shoulder arthroplasty.

conclusionWe observed that the patients with the best anteposition and abduction results had a glenosphere lateralization between 18 and 22 mm. When increasing the lateralization above 22 mm or reducing it below 18 mm, on the other hand, both movements considered decreased their range. LEVEL OF EVIDENCE: Level IV; Case Series; Treatment Study.

Indexed as

Arthroplasty, Replacement, ShoulderShoulder JointShoulder ProsthesisHumansPainRange of Motion, ArticularScapulaGlenosphere lateralizationRSA navigation system

Identifiers

PMID37074371
PMCPMC10115375
OpenAlexW4366352766

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.