Evidence map›Paper›PMID 38464453›Full record

ArticleJSES international2024

Humeral head size predicts baseplate lateralization in reverse shoulder arthroplasty: a comparative computer model study.

Stefan Bauer, William G Blakeney, Arnaud Meylan, Jaad Mahlouly, Allan W Wang, Arnaud Walch, Luca Tolosano

Abstract read
In one paragraph

Article in JSES international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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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

7 authors.

Stefan BauerChirurgie de l'épaule et du coude, Service d'Orthopédie et de Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland.
William G BlakeneySchool of Surgery, University of Western Australia, Perth, WA, Australia.
Arnaud MeylanChirurgie de l'épaule et du coude, Service d'Orthopédie et de Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland.
Jaad MahloulyChirurgie de l'épaule et du coude, Service d'Orthopédie et de Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland.
Allan W WangSchool of Surgery, University of Western Australia, Perth, WA, Australia.
Arnaud WalchCHU de Lyon, Groupement Hospitalier Edouard Herriot, Lyon, France.
Luca TolosanoChirurgie de l'épaule et du coude, Service d'Orthopédie et de Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In reverse shoulder arthroplasty (RSA), the ideal combination of baseplate lateralization (BL), glenosphere size (GS), and glenosphere overhang (GOH) with a commonly used 145° neck shaft angle (NSA) is unclear. This is the first study evaluating correlations of body height (BH), humeral head size (HS), glenoid height (GH), and association of gender with best glenoid configurations for range of motion (ROM) maintaining anatomic lateralization (aLAT) for optimized muscle length in 145° and less distalized 135° RSA. Methods: In this computer model study, 22 computed tomographies without joint narrowing were analyzed (11 male/female). A standardized semi-inlay 145° platform stem was combined with 20 glenoid configurations (baseplate [B] 25, 25 + 3/+6 lateralized [l], 29, 29 + 3/6l combined with glenosphere 36, 36 + 2 eccentric [e], 36 + 3l, 39, 39 + 3e, 39 + 3l , 42, 42 + 4e). Abduction-adduction, flexion-extension, external rotation-internal rotation, total ROM (TROM), and total notching relevant (TNR) ROM were computed, best TROM models respecting aLAT (-1 mm to +1 mm) and HS/GH recorded. Second, the 145° models (Ascend Flex stem; Stryker, Kalamazoo, MI, USA) were converted and compared to a 135° inlay RSA (New Perform stem; Stryker, Kalamazoo, MI, USA) maintaining GOH (6.5-7 mm) and aLAT. Results: Best 145° models had eccentric glenospheres (mean BL: 3.5 mm, GOH 8.8 mm, GS 38.1 mm, distalization 23 mm). The 135° models had concentric glenospheres, mean BL 3.8 mm, GOH 6.9 mm, GS 39.7 mm, and distalization 14.1 mm. HS showed the strongest positive correlation with BL in 145° and 135° models (0.65/0.79). Despite reduced GOH in smaller females with a 135° NSA, adduction, external rotation, extension, TNR ROM, and TROM were significantly increased ( Conclusion: HS is a practical measure in surgery or preoperatively, and the strong positive correlation with BL is a useful planning aid. Despite reduction of GOH, conversion to a less distalized 135° NSAinlay design is powerful to maintain and even significantly increase all components of TNR ROM (extension/external rotation/adduction) in small females with the drawback of reduced abduction which may however be compensated by scapula motion. Lateralization with a less distalized 135° RSA optimizes muscle length, may facilitate subscapularis repair, and maintains highest rigid body motion.

Indexed as

Body heightDistalizationGlenosphere sizeNative humeral head sizeNeck shaft angleNeutral anatomic lateralizationNotchingReverse shoulder arthroplasty

Identifiers

PMID38464453
PMCPMC10920133

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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.