Evidence map›Paper›PMID 41510311›Full record

ArticleJSES international2026

Two-year functional and radiographic outcomes of an inlay, metaphyseal-based short humeral stem component in reverse shoulder arthroplasty.

Cameron R Guy, Michael A Moverman, Adrik Da Silva, Christopher D Joyce, Peter N Chalmers, Robert Z Tashjian

Abstract read
In one paragraph

Article in JSES international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Cameron R GuyDepartment of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.
Michael A MovermanDepartment of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.
Adrik Da SilvaDepartment of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.
Christopher D JoyceDepartment of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.
Peter N ChalmersDepartment of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.
Robert Z TashjianDepartment of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The purpose of this study was to assess the 2-year functional and radiographic outcomes of an inlay metaphyseal-based short humeral stem component in reverse total shoulder arthroplasty (rTSA). Methods: All patients between January 2021 and May 2022 that underwent primary rTSA utilizing an inlay metaphyseal-based short humeral stem by a single surgeon were included. Initial stem position (varus/valgus) was measured on a Grashey anteroposterior radiograph of the shoulder postoperatively and compared to the stem position at > 2 years to assess subsidence and shift in position. Bone adaptations to the greater tuberosity (GT) were assessed at final follow-up. Results: Overall, 29 patients met inclusion criteria, with 23 patients (79% follow-up) following up at an average of 29 months (range, 24 to 38 months). Initial stem position was 2.4 ± 3.3° of valgus (range, 9° valgus to 2.6° varus). The final > 2-year stem position was 1.7 ± 2.8° of valgus (range, 7.4° valgus to 3.9° varus). No patients (0%) displayed evidence of stem subsidence at final follow-up. Overall, 9 patients (39.1%) were found to have bony changes of the GT. The American Shoulder and Elbow Surgeons and visual analog scale pain scores improved by an average of 38 ± 20 ( Conclusion: Patients undergoing rTSA with an inlay metaphyseal-based short humeral stem demonstrate reliable coronal plane alignment on initial placement, minimal shift in position, no stem subsidence, low rates of scapular notching, and stress shielding postoperatively. Approximately one-third of patients display radiographic changes of the GT. The use of intramedullary cutting guide and a 145 neck-shaft angle construct results in accurate stem placement and low risk of complications.

Indexed as

Bone adaptive changesFunctional outcomesReverse total shoulder arthroplastyShort stemStress shieldingVarus/valgus alignment

Identifiers

PMID41510311
PMCPMC12774743

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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.