Evidence map›Paper›PMID 41212189›Full record

ArticleInternational orthopaedics2026

No impact of osteoporosis on stemless reverse shoulder arthroplasty stability.

Victor Meissburger, Victor Housset, Maxime Antoni, Michel Azar, Mark Mouchantaf, Geoffroy Nourissat

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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

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

1 citing paper in PubMed.

  1. 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.

Victor MeissburgerClinique des Maussins, Paris, France.
Victor HoussetClinique des Maussins, Paris, France.
Maxime AntoniClinique de l'Orangerie, Strasbourg, France.
Michel AzarInstitut de Chirurgie Réparatrice, Nice, France.
Mark MouchantafClinique des Maussins, Paris, France.
Geoffroy NourissatClinique des Maussins, Paris, France. gnourissat@wanadoo.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt remains unclear whether altered bone density may be a stability issue in stemless reverse shoulder arthroplasty (RSA).

methodsThis was a retrospective multicentric study. Patients with stemless RSA with two-year postoperative shoulder X-ray and clinical data were included. Measurement of proximal humeral cortical bone thickness (CBT avg) on postoperative radiography was used to assess bone density.

results68 patients (mean age, 67.0 years) were included. CBT avg < 6 mm (osteoporosis) at two years was reported in 22.2% (2/9) of patients with humeral loosening and 35.6% (21/59) without humeral loosening (p = 0.7073). After adjustment for age and body mass index (BMI), CBT avg < 6 mm was not significantly associated with humeral loosening at two years (OR 0.37; 95% CI 0.04-2.21). Factors associated with humeral loosening vs. no humeral loosening at two years were BMI (24.2 vs. 27.9 kg/m

conclusionsThese results suggest that radiological evaluation of bone density does not predict early migration of stemless RSA implants. Some clinical factors such as BMI or implant configuration were associated to early implant migration, but never led to implant removal.

Indexed as

Arthroplasty, Replacement, ShoulderJoint InstabilityOsteoporosisShoulder JointShoulder ProsthesisAgedAged, 80 and overBone DensityFemaleHumansHumerusMaleMiddle AgedProsthesis DesignProsthesis FailureRadiographyBone densityDEXAOsteoporosisReverse total shoulder replacementShoulder arthroplastyStemless replacement

Identifiers

PMID41212189

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Registered trials

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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.