Evidence map›Paper›PMID 39827198›Full record

ArticleSkeletal radiology2025

CT imaging findings in symptomatic patients with and without revision surgery after reverse shoulder arthroplasty.

Sophia S Goller, Anna L Falkowski, Rainer J Egli, Georg C Feuerriegel, Samy Bouaicha, Reto Sutter

Abstract read
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Article in Skeletal radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Sophia S GollerDepartment of Radiology, Balgrist University Hospital, Faculty of Medicine, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland. sophia.goller@balgrist.ch.ORCID http://orcid.org/0000-0002-0964-8386
Anna L FalkowskiDepartment of Radiology, Balgrist University Hospital, Faculty of Medicine, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.
Rainer J EgliDepartment of Radiology, Balgrist University Hospital, Faculty of Medicine, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.
Georg C FeuerriegelDepartment of Radiology, Balgrist University Hospital, Faculty of Medicine, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.
Samy BouaichaDepartment of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Reto SutterDepartment of Radiology, Balgrist University Hospital, Faculty of Medicine, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate CT imaging findings in symptomatic patients with and without revision surgery (RS) after reverse shoulder arthroplasty (RSA). MATERIALS AND

methodsIn this retrospective study, two radiologists assessed CT imaging findings in symptomatic patients with RSA over 5 years, including material fracture and loosening of the peg, baseplate, screws, and humeral stem, screw positioning, prosthesis dislocation, glenoid notching, fractures, and deltoid muscle quality. The primary outcome parameter was RS. Patients were assigned Group 1 (RS) or Group 2 (No RS).

resultsNinety-nine patients (mean age 70.4 ± 10.3 years, 61 females) met the inclusion criteria. Fifty-two patients (29 females) received RS after 34.0 ± 38.3 months. The only CT imaging finding significantly associated with RS was prosthesis dislocation (P = .007, odds ratio (OR) 10.95, 95% CI 1.34-89.24). All other evaluated CT imaging findings were not associated with RS. Yet, loosening of the peg (30% vs. 16%), baseplate (15% vs. 6%), and superior screw (18% vs. 7%) and periprosthetic humeral fractures (29% vs. 13%)-as common reasons for RS-were more frequent in patients with RS than in those without, however not reaching significance (P ≥ .11). The large majority of patients had glenoid notching (79% vs. 94%), irrespective of RS.

conclusionIn this cohort of symptomatic patients after RSA, prosthesis dislocation was the only CT imaging finding associated with RS. Besides, there was a trend with higher numbers of loosening of the peg, baseplate, and superior screw, as well as periprosthetic humeral fractures in patients with RS, though not reaching significance.

Indexed as

Arthroplasty, Replacement, ShoulderPostoperative ComplicationsShoulder JointTomography, X-Ray ComputedAgedAged, 80 and overFemaleHumansMaleMiddle AgedProsthesis FailureReoperationRetrospective StudiesShoulder ProsthesisComputed tomographyReverse shoulder arthroplastyRevision surgery

Identifiers

PMID39827198
PMCPMC12174175

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