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ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

The reverse shoulder arthroplasty angle may contribute to overt inferior inclination: comparison with alternative parameters.

Abdelkader Shekhbihi, Eiji Itoi, Dilek Dag, William G Blakeney, Arnaud Walch, Stefan Bauer

Abstract readComparative Study
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In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 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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1citing papers in PubMed
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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.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Abdelkader ShekhbihiDepartment of Trauma Surgery, Lörrach District Hospital, Lörrach, Baden-Württemberg, Germany. abdelkadershekhbihi@outlook.com.
Eiji ItoiDepartment of Orthopaedic Surgery, Tohoku Rosai Hospital, Sendai, Japan.
Dilek DagDepartment of Trauma Surgery, Lörrach District Hospital, Lörrach, Baden-Württemberg, Germany.
William G BlakeneyDepartment of Orthopaedic Surgery, Royal Perth Hospital, Perth, Australia.
Arnaud WalchChirurgie Orthopédique et Traumatologique du Membre Superieur, Hopital Edouard Herriot, Lyon, France.
Stefan BauerDepartment of Orthopaedic Surgery, Royal Perth Hospital, Perth, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadiographic measurements have gained wide acceptance in anticipating the risk of inappropriate glenoid component positioning in reverse shoulder arthroplasty (RSA). This study aims to investigate whether the RSA angle overcorrects the base plate inclination, tilting it inferiorly, compared to the base plate correction angle (BCA), which provides neutral inclination and lateralization.

methodsOne hundred normal anteroposterior shoulder radiographs were evaluated to determine the average values of the RSA angle, BCA, base plate orientation angle (BOA), and the base plate shoulder angle (BSA), which represents the amount of overcorrection accomplished via the RSA angle beyond the BCA's scope. The interobserver reliability among two independent testers was assessed by the intraclass correlation coefficient. A t-test was applied to compare the mean values of the BCA and RSA angle.

resultsThe mean BOA and BCA values were 118° ± 5.7° and 17° ± 4.6°, respectively. The RSA angle value was 23° ± 6°. Compared to the BCA, the RSA angle overcorrected the base plate inclination by 15° ± 5° (BSA). The Student's t-test showed a statistically significant difference between the values of the BCA and RSA angle (p-value = 0.000). The interobserver reliability was excellent for all angle measurements among two independent testers.

conclusionThe RSA angle and the BOA/BCA are reliable radiographic measurements to determine the inclination of the inferior glenoid segment prior to RSA. However, surgeons need to consider the inherent inferior inclination associated with positioning the base plate according to the RSA angle (15° ± 5°).

Indexed as

Arthroplasty, Replacement, ShoulderShoulder JointAdultAgedBone PlatesFemaleHumansMaleMiddle AgedObserver VariationRadiographyReproducibility of ResultsShoulder ProsthesisBase plateCorrection angleGlenoid inclinationOrientation angleReverse arthroplastyReverse shoulder arthroplasty angle

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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.